Diabetes

Case Analysis: Diabetes

Ms. Blake is an older adult with diabetes and has been too ill to get out of bed for 2 days. She has had a severe cough and has been unable to eat or drink during this time. On admission her laboratory values show:

Ms. Blake’s values
Sodium (Na+)                         156 mEq/L
Potassium (K+)                        4.0 mEq/L
Chloride (Cl–)                         115 mEq/L
Arterial blood gases (ABGs)    pH, 7.30; PCO2, 40; PO2, 70; HCO3– , 20

Normal values
Sodium (Na+)                            136-146 mEq/L
Potassium (K+)                           3.5-5.1 mEq/L
Chloride (Cl–)                            98-106 mEq/L
Arterial blood gases (ABGs)       pH         7.35-7.45
PCO2   35-45 mmHg
PO2      80-100 mmHg
HCO3– 22-28 mEq/L
What type of water and solute imbalance does Ms. Blake have? Look closely to the labs. What can explain the labs? This patient has diabetes what are the possible complications of diabetes? Lastly, why did she become bedridden.? Please give five differentials and discuss each item on your differential.
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