Interesting patient presented recently. He is HIV+ and has a 10 day history of large volume watery diarrhea. On the 3rd day his BMP showed. On admission his HCO3 was 19.
| Electrolyte panel | |||||
|---|---|---|---|---|---|
| Na | 149 | Cl | 128 | BUN | 13 |
| K | 3.0 | HCO3 | 12 | creat | 0.8 |
This is actually relatively easy.
1. What is the likely acid-base problem?
2. How can we prove our assumption?
3. How would you treat this patient?
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1) Non anion gap metabolic acidosis.
2) ABG
3) hydration, K replacement