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A medical student is attached to you for the day. The nurse in charge asks you to see a gentleman with a provisional diagnosis of DKA. The student asks you what are the actions of insulin.
The student then mentions that in DKA you need to correct the sodium.
pH 7.041
Na 132.0mmol/L
K 3.61mmol/L
Ca 1.267mmol/L
Cl 117.3mmol/L
Hb 13.9 g/dL,
Glucose 32.0mmol/L
Lactate 4.5mmol/L
BE –12.9
Bicarbonate 7.3mmol/L.
What is the corrected sodium?
What is the anion gap in this case?