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# 15. Mr. Appel has severe chronic obstructive pulmonary disease (COPD). He is admitted to the hospital...

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15. Mr. Appel has severe chronic obstructive pulmonary disease (COPD). He is admitted to the hospital with the complaint of increasing dyspnea, increased sputum, anxiety, and diaphoresis. He states he feels weak and tired. He routinely takes a diuretic (furosemide) and his pulmonary medications. Patient values: Sodium (Na+) 140 mEq/L Potassium (K+) 2.0 mEq/L Chloride (Cl–) 105 mEq/L Arterial blood gases (ABGs): pH - 7.25; PCO2 - 78 mm Hg; PO2 - 60 mm Hg; HCO3 - 30 mEq/L Normal values: Sodium (Na+) 136-146 mEq/L Potassium (K+) 3.5-5.1 mEq/L Chloride (Cl–) 98-106 mEq/L Arterial blood gases (ABGs): pH 7.35-7.45 PCO2 45-35 mm Hg PO2 80-100 mm Hg HCO3- 22-26 mEq/L a. What type of imbalance does Mr. Appel have? (2 point) b. Interpret his ABG’s.

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