Case of the Week: Acid Base Disturbance #6

From AccessMedicine

Go to the profile of Julie Grishaw, ACNP
Jun 05, 2018
0
0
Upvote 0 Comment

Case

A 23-year-old noncompliant diabetic presents to the emergency room with lethargy, abdominal pain, nausea, and malaise. The patient has a history of DKA. His blood glucose on arrival is 340 mg/dL. His urinalysis is positive for ketones.

Laboratory Data:

ABG

Basic Metabolic Panel

pH

6.82

Na

129 mEq/L

PaCO2

16 mm Hg

K

6.2 mEq/L

PaO2

93 mm Hg

Cl

90 mEq/L

HCO3

< 5 mEq/L

CO2

5 mEq/L

BUN

44 mg/dL

Cr

1.6 mg/dL

Albumin

4.0 g/dL

 

Question 1 of 5:

What is/are the primary acid-base disturbance(s) occurring in this case?

A - Metabolic acidosis only 

B - Respiratory acidosis only 

C - Metabolic acidosis and a respiratory acidosis

D - Metabolic alkalosis and a respiratory alkalosis

 


Click HERE to view the full progressive case and answer all 5 questions!

Don't forget to create a MyAccess profile to get the most out of your AccessMedicine subscription!

Go to the profile of Julie Grishaw, ACNP

Julie Grishaw, ACNP

Senior Editor, McGraw-Hill Education

No comments yet.