The patient who requires the most careful monitoring for development of metabolic acidosis is a patient who

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Diarrhea causes increased excretion of the base bicarbonate,which can lead to metabolic acidosis.Although the oliguric phase of acute renal failure causes metabolic acidosis,the diuretic phase does not,because the kidneys can still excrete metabolic acids.Hypokalemia is associated with metabolic alkalosis.Cushing syndrome is cortisol excess,which can cause metabolic alkalosis from increased renal excretion of hydrogen ions.

The Patient Who Requires the Most Careful Monitoring for Development