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potassiun muai B.s history, why might Cir have more serious effects on Part C: Day 3: Admission to the Hospita After a prolonged period vomiting bs of vomiting, metabolic acidosis develops. This change results from a number of factors: . Loss of bicarbon ate ions in duodenal secretions Lack of nutrients leading to cata bolism of stored fats and protein with production of excessive a amounts of ketoacids Dehydration and decreased blood volume leading to decreased excretion of acids by the kidney Decreased blood volume leading to decreas perfusion, less oxygen to cells, and increased anaerobic metabolism with increased lactic acid Increased muscl metabolic acid production These factors lead to an increased amoun e activity and stress leading to increased t of acids in the blood, which bi serum bicarbonate and decreased serum P acidosis nd with bicarbonate buffer and result in decreased H or metabolic 11. 12. List several reasons why Mr. K.B. is lethargic and w Predict the serum level of carbon dioxide or carbonic acid in this case. eak. 13. If Mr. K.B. continues to lose body fluid, why might serum pH decrease below 7.35?
14. If serum pH drops below 7.35, what signs would be 15. Describe the effect of acidosis on serum potassium observed in Mr. K.B.? levels. Why s r. K.B. will be given replacement fluid therapy important that sodium and potassium be given as well a water?
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