11 Jun Ms. Brown is an elderly adult with diabetes
Question
Ms. Brown is an elderly 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. Brown’s values
Sodium (Na+)
132 mEq/L
Potassium (K+)
5.8 mEq/L
Arterial blood gases (ABGs)
pH, 7.20; Pco2, 40; Po2, 70; HCO3–, 16
Blood Glucose 450
Normal values
Sodium (Na+)
136-146 mEq/L
Potassium (K+)
3.5-5.1 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 might be going on with Ms. Brown?
What would be the treatment?
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