A 50-year-old man came to the emergency department after returning from foreign travel. His symptoms included persistent diarrhea (over the past 3 days) and rapid respiration (tachypnea). Blood gases were drawn with the following results:   pH 7.21 pco2 19 mm Hg po2 96 mm Hg HCO3 − 7 mmol/L SO2 96% (calculated) (reference range, >95%)     What is the patient’s acid–base status? Why is the HCO3 − level so low? Why does the patient have rapid respiration?

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