Question 299 · LEK · Acid-base balance
A 38-year-old man with symptoms of severe gastrointestinal obstruction due to pyloric stenosis that is a complication of peptic ulcer disease presents because of copious vomiting of gastric contents. Which of the following water-electrolyte disturbances is most likely in this case?
- A. respiratory alkalosis.
- B. metabolic alkalosis.
- C. respiratory acidosis.
- D. metabolic acidosis.
- E. based on the patient’s history, he should not be having water-electrolyte disturbances.
Hint
Think about what is lost in vomited gastric juice and how the kidneys respond to volume depletion.
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