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Free Open Access Short Answer Questions for ED Fellowship Study

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Case: Diabetic ketoacidosis with high anion gap acidosis

A 30-year-old female is brought in by ambulance with multiple episodes of vomiting and abdominal pain. She has a past history of type 1 diabetes mellitus and is noncompliant with medications. T 37.5

  • HR 130
  • BP 100/60
  • RR 35
SaO2 95%
  • GCS 14
VBG: pH 7.05 pCO2 25 HCO3 10 BE -10 Na 132 K 5 Cl 92 Glu 50 Lactate 5

1. Interpret the gas result by completing the following tables. 4 marks

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2. Excluding medication noncompliance, list (4) possible precipitating factors of this condition. 4 marks

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3. Outline your key goals of treatment in this patient. 4 marks

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