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Review Question - QID 214362

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QID 214362 (Type "214362" in App Search)
A 45-year-old man is brought to the emergency department by ambulance after he was found passed out on a park bench. On presentation, he is covered in vomit and urine, and he refuses to cooperate with staff. Chart review reveals that he is a frequent visitor to the emergency department and that he has been homeless for several years. During the first few minutes after presentation, he begins to shout that he can't see anything. He has no past medical history of visual problems. Electrolytes from a basic metabolic panel reveal the following:

Serum:
Na+: 142 mEq/L
K+: 3.6 mEq/L
Cl-: 100 mEq/L
HCO3-: 11 mEq/L

The treatment for this patient's condition prevents the formation of which of the following substances?