The History Of Diabetes Mellitus
The History Of Diabetes Mellitus

2. Why is the serum bicarbonate low? 3. What is the acid-base status of this individual?

A 21 year old noncomplaint male with a history of type I (insulin-dependent) diabetes mellitus was found in a coma. His blood glucose was high, as well as his urine glucose, urine ketones, and serum ketones. His serum bicarbonate was <12 mEq/L. His respiration was exaggerated and his breath had an acetone odor. His blood pressure was 90/60 and his pulse weak and rapid (120).

, he has got a metabolic acidosis, dehidration and coma hiperosmolar

 
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