Week 5: Discussion Part One
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Ms. Blake is an older adult with diabetes and has been too ill to get out of bed for 2 days. She has had a severe cough and has been unable to eat or drink during this time. She has a history of Type I diabetes. On admission her laboratory values show:
|
Sodium (Na+) |
156 mEq/L |
|
Potassium (K+) |
4.0 mEq/L |
|
Chloride (Cl–) |
115 mEq/L |
|
Arterial blood gases (ABGs) |
pH- 7.30; Pco2-40; Po2-70; HCO3-20 |
|
Normal values |
|
|
Sodium (Na+) |
136-146 mEq/L |
|
Potassium (K+) |
3.5-5.1 mEq/L |
|
Chloride (Cl–) |
98-106 mEq/L |
|
Arterial blood gases (ABGs) |
pH- 7.35-7.45 Pco2- 35-45 mmHg Po2-80-100 mmHg HCO3–22-28 mEq/L |
- List three (3) reasons on why she may have become bed ridden?
- Based on these reasons what tests would you order?
- Describe the molecular mechanism of the development of ketoacidosis.
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