Joseph is a 44 year old male who was previously healthy.  He…

Joseph is a 44 year old male who was previously healthy.  He presents with severe diarrhea for the past 10 days, likely due to norovirus infection.  He is moderately dehydrated.  His lab results are listed below.  Which of the following acid-base disturbances is present?  Na 142 mEq/L (normal 136-144);   K 3.2 mEq/L  Cl 110 mEq/L (normal 96-106);  HCO3 20 mEq/L (normal 22-29); Glucose 110 mg/dL (normal 64-100); BUN 25 mg/dL (normal 8-20); Scr 1.1 mg /dL (normal 0.7-1.2) pH 7.34 (normal 7.35-7.45); PaCO2 25 mmHg (normal 35-45); PaO2 96 mmHg (normal 75-100);  bicarbonate 18 mEq/L (normal 22-26)