A 48-year-old man with diabetes with a history of alcohol abuse wasadmitted to
A 48-year-old man with diabetes with a history of alcohol abuse wasadmitted to the emergency depart- ment. He had an elevated heart rate (tachycardia) and was experiencing extreme shortness of breath. Blood was drawn for glucose and blood gases and urine collected for ketones: Glucose = 570 mg/dL; Urinary ketones = Large (reference range, negative) pH = 7.00 pCO2 = 48 mmHg pO2= 68 mm Hg HCO3- =12 mmol/L SO2= 81% (calculated) tHb= 10 g/dL 1. Is the patient’s acidemia a result of respiratory ornonrespiratory disturbances or a combination ofboth?2. If the patient was not having respiratory prob-lems, how would you classify the acid-base dis-turbance?3. What is the significance of shortness of breath,tachycardia, and elevated pco2?4. What is the significance of the urinary ketonesthat result in terms of identifying the type ofdiabetes? Health Science Science Nursing MLT 222 Share EmailCopy link Comments (0)
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