A 22 year old women reports being “sick with the flu” for the past 8 days. She is vomiting several times a day, has difficultly in keeping liquids or food down, and has been using more than the recommended dose of antacids to calm the nausea and “heartburn” sensation. She has become severely dehydrated. After fainting at home, she was taken to a local hospital. An arterial blood gas was drawn, along with an electrolyte panel, and then an IV was started to help rehydrate her.  How would you classify the patient’s primary problem related to fluid, electrolytes and acid base disturbances created by these factors?What are the possible factors causing the acid-base disturbance? Explain the pathophysiology created by these factors.

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