Ms. Blake is an older adult withdiabetesand has been too ill to get out of bed for 2 days. She has had asevere cough and has been unable to eat or drinkduring this time. She has ahistory of Type I diabetes. On admission her laboratory values show:
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Sodium (Na+)
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156 mEq/L
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Potassium (K+)
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4.0 mEq/L
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Chloride (Cl-)
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115 mEq/L 106 high
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Arterial blood gases (ABGs)
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pH- 7.30; Pco2-40;Po2-70;80-100 L
HCO3-20 (22-28) low
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Normal values
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Sodium (Na+)
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136-146 mEq/L
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Potassium (K+)
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3.5-5.1 mEq/L
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Chloride (Cl-)
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98-106 mEq/L
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Arterial blood gases (ABGs)
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pH- 7.35-7.45
Pco2- 35-45 mmHg
Po2-80-100 mmHg
HCO3-22-28 mEq/L
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- List five (5) 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.