A patient in the intensive care unit is being treated for shock and acute renal failure. No arterial

A patient in the intensive care unit is being treated for
shock and acute renal failure. No arterial blood gas (ABG) samples have been
drawn yet, but the RT suspects the respiratory system is involved because the
patient has been breathing more rapidly over the past 12 hours. The electrolyte
panel reveals a serum Na+ of 146 mEq/L, a total CO2 of 20 mEq/L, and a serum
Cl− of 100 mEq/L. Does the electrolyte panel suggest any problems, and
what should be done if there are any?

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