How does a history of laxative and diuretic abuse in the setting of an eating disorder cause metabolic

Question 1 How does a history of laxative and diuretic abuse in the setting of an eating disorder cause metabolic acidosis? Question 2 How do electrolyte and renal dysfunction cause changes in cognition and mental status? Question 3 Normal hematocrit is 3 times the hemoglobin. Why is the hematocrit elevated? (ANSWER ALL!)

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