Diabetic Ketoacidosis Case 2
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Question 1 of 4
1. Question
It is another rainy day at the office. Ambulances are queuing outside when Matron pulls you out of the coffee room to see a ‘patient with shortness of breath’ in the resuscitation room. There is a smell of alcohol as you walk in.
The patient is mumbling incoherently and has the following;
- Respiratory rate of 40 breaths per minute
- Oxygen saturations on air 92%
- Breath sounds bilaterally equal with no added sounds
- Pulse rate 120
- Blood pressure of 110/65 mmHg
List at least five actions for your immediate management of the patient.
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Question 2 of 4
2. Question
What are the causes of DKA?
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Question 3 of 4
3. Question
The foundation year one doctor offers to do the ABG for you, if you will sign his DOPS form. The ABG is as follows:
pH 6.95
pCO2 2.5 kPa
pO2 42.1 kPa
Na 140mmol/L
K 3.3mmol/L
Hb 12 g/dL
Glucose 44mmol/L
Lactate 6mmol/L
BE –20.2,
Bicarbonate 6.2mmol/L.The F1 doctor wishes to give sodium bicarbonate. What do you say?
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Question 4 of 4
4. Question
The nurse has drawn an insulin infusion and wishes to start it now.
Do you want to start the insulin now? What are the reasons for your answer?
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