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A 56-Year-Old Man Comes to the Emergency Department Due to a 1-Day

question 1078

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A 56-year-old man comes to the emergency department due to a 1-day history of fever, chills, shortness of breath, and productive cough.  The patient has an episode of vomiting while in the emergency department.  He has no prior medical conditions and takes no medications.  The patient has smoked for several years and occasionally drinks alcohol.  Temperature is 38.8 C (101.8 F) , blood pressure is 90/60 mm Hg, and pulse is 102/min.  Repeat blood pressure measurement after administration of 2 L of normal saline bolus is 120/80 mm Hg.  Leukocyte count is 16,000/mm3.  Arterial blood gas analysis on room air shows the following: A 56-year-old man comes to the emergency department due to a 1-day history of fever, chills, shortness of breath, and productive cough.  The patient has an episode of vomiting while in the emergency department.  He has no prior medical conditions and takes no medications.  The patient has smoked for several years and occasionally drinks alcohol.  Temperature is 38.8 C (101.8 F) , blood pressure is 90/60 mm Hg, and pulse is 102/min.  Repeat blood pressure measurement after administration of 2 L of normal saline bolus is 120/80 mm Hg.  Leukocyte count is 16,000/mm<sup>3</sup>.  Arterial blood gas analysis on room air shows the following:   Which of the following is the most likely acid-base status of this patient? A) Metabolic acidosis with respiratory compensation B) Metabolic alkalosis with respiratory compensation C) Normal acid-base balance D) Respiratory acidosis with renal compensation E) Respiratory alkalosis with renal compensation F) Uncompensated metabolic acidosis G) Uncompensated metabolic alkalosis H) Uncompensated respiratory acidosis I) Uncompensated respiratory alkalosis Which of the following is the most likely acid-base status of this patient?

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Definitions:

Internal Attributions

The explanation of an individual's behavior as a result of personal, internal qualities such as ability, personality, or effort.

Internal Causes

Reasons or factors within an individual (like personality traits or beliefs) that explain behaviors or events.

Free Choice

The ability or power to make decisions without being restricted or coerced.

Robbers' Cave

An experiment focusing on group conflict and cooperation, illustrating how group identity can impact intergroup relations.

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