A 78 year was brought into the emergency department with nau…

A 78 year was brought into the emergency department with nausea, vomiting, hypotension, and low heart rate. The patient was slightly feverish and flushed. The patient had been self-medicating for both for both heartburn and constipation.  Admission lab values are below: Calculate and evaluate the anion gap. Partial credit if work is shown. TProt               5.6 g/dL                      Alb                  3.0 g/dL                      Total Ca          8.4 g/dL                      Gluc                116 mg/dL                  Mg                   2.8 mmol/L                  BUN               40 mg/dL                    Crea                 2.6 mg/dL                   Na+                 134 mmol/L                 K+                   3.4 mmol/L                  Cl-                   97 mmol/L                   TCO2              30 mmol/L