A 59 year old female who had a family history of diabetes mellitus and was diagn

Question

A 59 year old female who had a family history of diabetes mellitus and was diagnosed as IDDM 3 years ago. She was receiving daily injections of insulin. She was admitted to the hospital complaining of abdominal pain, vomiting, headache, and flu-like symptoms. The patient is alert and cooperative. Lab findings include blood pH 6.95 (low), bicarbonate level 6.7 (low) and glucose level 534 mg/dl (high). Based onthe lab findings, the diagnosis most likely would be

a. hyperglycemia

b. hyperkalemia

c. diabetic ketoacidosis

d. metabolic alkalosis

e. diabetes insipidus

Explanation / Answer

Answer

Option C is the right answer because according to symptoms and lab report It is evident that the patient was suffering from diabetic ketoacidosis in which production of keto body goes up and blood pH goes down.

Based on the lab finding blood become acidic and bicarbonate pool depleted due to balancing of blood pH .

Related Questions

Navigate

• Browse (All)
• Browse A
• Subjects

Integrity-first tutoring: explanations and feedback only — we do not complete graded work. Learn more.