A 45-year-old woman is brought to the hospital by police after being found sleeping in the the snow in a park. Her breath smells of alcohol. She appears slightly emaciated and confused. Temperature is 94.0 F. She is rewarmed in the emergency department using heating blankets and warm IV normal saline. A photograph of her feet is shown.
Which of the following biochemical disturbances should be most closely monitored in this patient during the rewarming process?
Hyperchloremia
Hyperkalemia
Hypernatremia
Hyperphosphatemia
Hypochloremia
Hypokalemia
Hyponatremia
Hypophosphatemia
Metabolic acidosis
Metabolic alkalosis
