02-28-2015, 08:04 AM
During the past month, a 37-year-old woman has had epigastric pain 2 to 3 hours after eating and at night; she has a
feeling of fullness and bloating even when she eats small amounts. For 2 days, she has been unable to keep any food
"down" and has had repetitive vomiting between meals. Six months ago, she was diagnosed with a peptic ulcer and
was treated with a proton pump inhibitor and antibiotics. After 2 weeks of treatment, her symptoms were alleviated,
and she discontinued the medication due to the quantity of pills she had to take. Placement of a Foley catheter yields
no urine. This patient is most likely to have which of the following electrolyte profiles?
Na+ K+ Cl− HCO3
−
(mEq/L) (mEq/L) (mEq/L) (mEq/L)
(A) 130 2.8 88 32
(B) 130 4.2 100 24
© 130 4.4 100 14
(D) 148 2.3 96 24
(E) 148 4.8 110 24
feeling of fullness and bloating even when she eats small amounts. For 2 days, she has been unable to keep any food
"down" and has had repetitive vomiting between meals. Six months ago, she was diagnosed with a peptic ulcer and
was treated with a proton pump inhibitor and antibiotics. After 2 weeks of treatment, her symptoms were alleviated,
and she discontinued the medication due to the quantity of pills she had to take. Placement of a Foley catheter yields
no urine. This patient is most likely to have which of the following electrolyte profiles?
Na+ K+ Cl− HCO3
−
(mEq/L) (mEq/L) (mEq/L) (mEq/L)
(A) 130 2.8 88 32
(B) 130 4.2 100 24
© 130 4.4 100 14
(D) 148 2.3 96 24
(E) 148 4.8 110 24