A 24-year-old female with a history of severe anorexia nervo…
A 24-year-old female with a history of severe anorexia nervosa is admitted to the medical floor following a fainting episode. Physical examination reveals a body mass index (BMI) of 14.2 kg/m², bradycardia, and dry mucous membranes. Initial laboratory results reveal: Arterial Blood Gas (ABG): pH 7.31, PaCO₂ 32 mmHg, HCO₃⁻ 16 mEq/L Serum Electrolytes: Na⁺ 138 mEq/L, Cl⁻ 102 mEq/L, K⁺ 3.4 mEq/L Anion Gap: 20 mEq/L (Elevated) Serum Glucose: 58 mg/dL Serum Ketones: Strongly positive Which of the following physiological mechanisms best explains the primary driver of this patient’s acid-base imbalance?
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