Normal Levels of Substances in the Arterial Blood: pH 7.40 + 0.05 pCO2 (partial pressure of carbon dioxide) 40 mm Hg pO2 (partial pressure of oxygen) 90 - 100 mm Hg Hemoglobin - O2 saturation 94 - 100 % [HCO3-] 24 meq / liter Vignette #1: 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 her breath had an acetone odor. Her blood pressure was 90/60 and his pulse weak and rapid (120). 4. What is the acid-base status of this individual? 5. What are the causes of the dyspnea, hypotension, and tachycardia? 6. What type of treatment does this person need?
Normal Levels of Substances in the Arterial Blood:
pH |
7.40 + 0.05 |
pCO2 (partial pressure of carbon dioxide) |
40 mm Hg |
pO2 (partial pressure of oxygen) |
90 - 100 mm Hg |
Hemoglobin - O2 saturation |
94 - 100 % |
[HCO3-] |
24 meq / liter |
Vignette #1:
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
4. What is the acid-base status of this individual?
5. What are the causes of the dyspnea, hypotension, and tachycardia?
6. What type of treatment does this person need?
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