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20.nbme 2 q, plz explain - sampangi04
#1
Na+(mEq/L) Cl“(mEq/L) K+(mEq/L) HCO3“(mEq/L)
pH Specific
gravity

A 132 89 2.8 39 5.0 1.025

B 133 110 3.9 16 6.0 1.015

C 163 117 4.3 22 5.5 1.003

D 165 115 4.5 19 5.0 1.030


A 7-week-old boy is brought to the physician
because of fever, irritability, and lethargy for 3 days. He has had no vomiting, diarrhea, or symptoms of an upper respiratory tract infection. He always seems
hungry to his mother despite being fed 3 ounces of
formula every 3 hours. His mother also notes that he has many wet diapers throughout the day and night. He currently appears irritable. His temperature is 37.8 C (100 F), blood pressure is 80/50 mm Hg, pulse is150/min, and respirations are 25/min. Examination shows a sunkenanterior fontanelle.
Mucous membranes are dry. There is tenting of the
skin. Examination shows no other abnormalities. Urinalysis is negativefor glucose and protein.


thanx
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