A 30-year-old, male patient with full thickness burns sustained to his anterior trunk and limbs after falling into a campfire while intoxicated is at day nine on the Burn ICU. He currently has infusions of Lactated Ringers, continuous TPN, IV analgesia and a sedative. For the past day, he has increased his urine output, with urine appearing clear and pale. He is NSR on the monitor, but his most recent daily ABG revealed a pH of 7.51. Which of the following electrolyte imbalances should the Burn ICU nurse and team have the most concern?
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