own is a 70-year-oldwoman with type 2 diabetes mellitus who has been too ill to get outof bed for 2 days. She has had a severe cough and has been unableto eat or drink during this time. On admission, her laboratoryvalues show the following:
Serum glucose 412mg/dl
Serum sodium(Na+) 156 mEq/l
Serum potassium(K+) 5.6 mEq/l
Serum chloride(Cl–) 115 mEq/l
Arterial blood gases(ABGs): pH 7.30; PaCO2 32 mmHg; PaO2 70 mmHg;HCO3– 20 mEq/l
- What type of water and solute imbalance does Ms. Brownhave?
- What symptoms would you expect to find?
- What would be the appropriate treatment?
- What do her ABG results indicate?
- Does she have an anion gap and what does this indicate?
