diabetes pathophysiology questions

Diabetes

Ms. Brown 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. Brown’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

a. What type of water and solute imbalance does Ms. Brown have?

b. What symptoms would you expect to find?

c. What would be the treatment?

d. What do her ABGs mean?

e. Does she have a normal or an abnormal anion gap?

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