The diagnosis is not tricky, but I do have a few questions:
| Na | 121 | Cl | 73 | BUN | 57 | glu | 1820 |
| K | 9.6 | CO2 | 6 | creat | 3.2 | Ca++ |
- Has anyone seen a higher glucose?
- A higher K?
- Postulate the sequence of events leading to these numbers
Background information – 17 year history of type I DM. Several recent admissions for DKA, but usually with blood glucose lower than 1000.
ABG
| pH | 7.20 |
| pCO2 | 17 |
| pO2 | 324 |
| calc HCO3 | 7 |
