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
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