Author: Hina Tahir, Divyansh Gulati / Editor: Jessie Lynch / Codes: / Published: 14/02/2024
A 27-year-old female, known type 1 diabetic, has been brought to the Emergency Department (ED) by ambulance. She has been unwell for 2 days with vomiting and has been unable to eat or drink anything. She has not taken her insulin for 2 days.
Her vital signs are:
- Heart rate 125 beats/minute
- Blood pressure 90/65mmHg
- Oxygen saturation 97% on air
- Glasgow coma score 15/15
- Temperature 35.5 degrees Celsius
- Respiratory rate 26 breaths/minute
VBG showed:
- PH 6.9
- PCO2 2.6
- HCO3 5.8
- BE -24.9
- Na 137
- K 5.7
Glu 41 Blood ketones = 6mmol/L.
