A patient in the trauma intensive care unit is undergoing large fluid resuscitation with normal…

A patient in the trauma intensive care unit is undergoing
large fluid resuscitation with normal saline solution. The patient is in
hemorrhagic shock after a motor vehicle accident. An initial ABG measurement
reveals a pH of 7.25, PCO2 of 25 mm Hg, and HCO3 − of 10.6 with a base
deficit of −14.9 mEq/L. The trauma surgeons are debating increasing the
amount of normal saline solution infused. They suspect their resuscitation
efforts are inadequate, and metabolic acidosis is worsening from continued
lactate accumulation. What additional information can be provided by obtaining
a BCP to help guide therapy?

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