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Mr. X is a 56-year-old male admitted to a hospital for shortness of breath and breathing difficulties. He is diagnosed with pneumonia. He has a history of congestive heart failure, osteoarthritis, hypertension, gout, and coronary artery disease.
Height: 5'9" Weight: 220 pounds
LABS: Normal Values Arterial BGs: Normal values
Na = 133 mEq/L (135–147) mEq/L pH = 7.9 (7.35–7.45)
Cl = 103 mEq/L (95–107) mEq/L pCO2 = 30 mmHg (35–45) mmHg
K = 4.1 mEq/L (3.5–5.2) mEq/L pO2 = 96 mmHg (70–100) mmHg
Glucose = 207 mmol/L (up to 140) mmol/L HCO3 = 26 mEq/L (19–25) mEq/L
BUN = 25 mmol/L (7–20) mmol/L
Creatinine = 1.5 mmol/L (0.5–1.4) mmol/L
Albumin 3.2 mmol/L (3.2–5) mmol/L
Cholesterol = 320 mmol/L (< 200) mmol/L
What treatment would be the most effective for his acid–base disorder?
A. treat pneumonia and lose weight
B. control blood pressure and reduce blood cholesterol
C. anti-inflammatories for osteoarthritis and lose weight
D. insulin therapy and control blood pressure
E. manage heart condition and reduce blood cholesterol
Answer: A
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