Scenario 6.1

Diabetic Ketoacidosis

Chest X-ray

ECG

CBC

WBC 14.2 8000-12 000/mm3

HGB 14.1 11-15 g/dL

HCT 42 30-43%

PLT 430 150 000-450 000/mm3

BMP

Glucose 674 65-100 mg/dL

BUN 44 5-20 mg/dL

Sodium 128 136-145 meq/L

Potassium 3.8 3.5-5.5 meq/L

Chloride 98 100-106 meq/L

CO2 10 22-32 meq/L

Creatinine 3.6 0.2-1.4 mg/dL

Arterial Blood GasArterial blood pH 7.05 7.35-7.45

Arterial PO2 105 60-70 mmHg

Arterial CO2 19 35-45 mmHg

Arterial HCO3 10 22-26 mmol/L

Arterial % sat. 99% 96-100%

Clarity clear

Color yellow

Glucose >1000 negative (mg/dL)

Bilirubin negative negative

Ketones large negative (mg/dL)

Sp. grav. 1.020 1.003-1.040

Blood negative negative

pH 5.0 5.0-8.0

Protein negative negative mg/dL

Urobilinogen 0.1 0.2 EU/dL

Nitrites positive negative

Leukocytes positive negative

Urinalysis

Urine Microscopy

Urine RBCs occasional NS/HPF

Urine WBCs >50/HPF NS/HPF

Urine epithelia 1-5/HPF NS/HPF

Urine bacteria Large /HPF

Urine casts None seen NS/LPF