[Verified Answer]: Mr. Appel has severe chronic obstructive pulmo

Mr. Appel has severe chronic obstructive pulmonary disease (COPD). He is admitted to the hospital with the complaint of increasing dyspnea, increased sputum, anxiety, and diaphoresis. He states he feels weak and tired. He routinely takes a diuretic agent (furosemide) and his pulmonary medications. Mr. Appel’s values Sodium (Na+ ) 140 mEq/L Potassium (K+ ) 2.0 mEq/L Chloride (Cl– ) 105 mEq/L Arterial blood gases (ABGs) pH, 7.25; partial pressure of carbon dioxide (PCO2), 78 mm Hg; partial pressure oxygen (PO2), 60 mm Hg; bicarbonate (HCO3 − ), 30 mEq/L Normal values Na+ 136 to 146 mEq/L K + 3.5 to 5.1 mEq/L Cl– 98 to 106 mEq/L ABGs pH: 7.35-7.45 PCO2: 35-45 mm Hg PO2: 80-100 mm Hg HCO3 – : 22-28 mEq/L a. What type of imbalance does Mr. Appel have? b. Interpret his ABGs. c. What is the treatment