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A 56-year-old man with a history of diabetes mellitus and alcoholism presents after having eaten no...

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Medical Sciences

A 56-year-old man with a history of diabetes mellitus andalcoholism presents after having eaten no food and taken no insulinfor the last 3 days. He reports drinking “lots” of alcohol. Thepatient presents with low blood pressure, abnormally high restingheart rate, and an abnormally elevated rate of ventilation (36breaths/minute). He smells strongly of acetone and is dehydrated.Clinical findings are consistent with left lower lobe pneumonia.Results of ABG testing are: PO2 = 68 mm Hg, PCO2 = 17 mm Hg, HCO3-= 6 mEq/L, and pH = 7.30.

1. What is the acid-base disturbance?
2. Is he attempting to compensate? Explain your answer.
3. What would his acid-base profile be if his respiratory rate were14 breaths/minute?

Answer & Explanation Solved by verified expert
3.9 Ratings (759 Votes)
Ans it is complication of diabetes ABG given pH 730 less normal value 735745 74 pO2 68 mmhg too low noraml value is 100 mmhg it is hypoxemia pCO2 17 mmhg less noramal    See Answer
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