A 21-year-old noncompliant female with a history of type I (insulin-dependent) diabetes mellitus was found in a coma. Her blood glucose was high, as well as her urine glucose, urine ketones, and serum ketones. Her serum bicarbonate was < 12 mEq/L. Her respiration was exaggerated and his breath had an acetone odor. Her blood pressure was 90/60 and his pulse weak and rapid (120). What is the cause of the dyspnea, hypotension, and tachycardia?
Diabetes - 1 Answers
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I'll get you started... this is classic diabetic ketoacidosis (DKA), which is an anion gap metabolic acidosis. Initial treatment should focus on controlled rehydration and getting her sugar down.
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