63. T.W. is a 36 y/o male patient who just returned from the…
63. T.W. is a 36 y/o male patient who just returned from the operating room post open cholecystectomy. He is morbidly obese and the surgery was complicated by an iatrogenic pneumothorax and a nicked spleen. He suffered a significant amount of fluid loss and requires close supervision during recovery. An ABG shows the following: pH 7.48, pCO2 55mmHg, HCO3 33mEq/L. Which of the following acid-base imbalances would you anticipate?