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Clear communication. 1st step in determining ABGs: the Ph, respiratory, metabolic. Reduce gas exchange resulting from und erlying pulmonary disease. Causes of hypercalcemia. - Can be related to metabolic/respir atory acidosis by too much co2 retained. causing COPD, asthma, diarrhea, dk a, renal or liver failure.. Wsoc madi baggett
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