Presentation: 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).
Questions: Choose one of the two sets of questions to serve as your initial response.
- Define noncompliant.
- Explain whether this person is experiencing ketoacidosis or insulin shock.
- Why is the serum bicarbonate low?
OR
- What is the acid-base status of this individual?
- What is the cause of the dyspnea, hypotension, and tachycardia?
- What type of treatment does this person need?
Presentation: 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).
Questions: Choose one of the two sets of questions to serve as your initial response.
- Define noncompliant.
- Explain whether this person is experiencing ketoacidosis or insulin shock.
- Why is the serum bicarbonate low?
OR
- What is the acid-base status of this individual?
- What is the cause of the dyspnea hypotension and tachycardia?
- What type of treatment does this person need?
Presentation: 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).
Questions: Choose one of the two sets of questions to serve as your initial response.
- Define noncompliant.
- Explain whether this person is experiencing ketoacidosis or insulin shock.
- Why is the serum bicarbonate low?
OR
- What is the acid-base status of this individual?
- What is the cause of the dyspnea, hypotension, and tachycardia?
- What type of treatment does this person need?