10 year old girl has been brought to ED with vague abdominal pain, and vomiting.
She has history of T1DM with multiple previous admissions with DKA. Her BSL is read “HI” at triage. Her HR 120, BP 105 systolic. afebrile. RR 25. CRT 2 sec Ketones 5.1.
| PH 7.25 | ||
| PCO2 27 | ||
| HCO3 13 | ||
| Na 136 | ||
| K 4.1 | ||
| Cl 98 | ||
| Glu 28 | ||
| Lac 3.2 | ||
| Creat 98 | ||
- What is the diagnosis with above VBG result?
- Calculate AG, expected CO2, level of compensation?
- How will you manage this patient?