Physical examination:
Temperature - 105.2oF (Normal = 99 - 101)
Heart Rate- 100/min (Normal = 30 - 50)
Respiratory Rate - 50/min. (Normal = 4 - 10)
Weight - 400 kg
The pulse is difficult to palpate and his extremities are cold. He is very depressed and is in sternal recumbency. You assess his degree of dehydration as 8%. You obtain the following laboratory data:

PARAMETERS NORMAL VALUES ACTUAL VALUES
PCV 32 - 53% 63%
TP 6 - 7.7 gm/dl 5.0 gm/dl
Na 132 - 146 mEq/l 120 mEq/l
K 3 - 5 mEq/l 2.5 mEq/l
Cl 98 - 110 mEq/l 95 mEq/l
Albumin 2.9 - 3.8 mg/dl 1.9 mg/dl
pH 7.32 - 7.46 7.20 (venous)
pCO2 38 - 46 mm Hg 30 mm Hg
HCO3 23 - 32 mEq/l 14.0 mEq/l
WBC 5.4 - 14.3 X 109/l 3.2 X 109/l
Segmented PMNs 2.3 - 8.6 X 109/l 0.9 X 109/l
Band PMNs 0 - 0.1 X 109/l 0.9 X 109/l