Sunday, January 31, 2010

Cause Of Dyspnea, Hypotension And Tachycardia What Is The Acid-base Status Of This Individual? What Type Of Treatment Does This Person Need?

What is the acid-base status of this individual? What type of treatment does this person need? - cause of dyspnea, hypotension and tachycardia

A woman, 21 years old, not with a history of Type I (insulin-dependent) diabetes mellitus match is comatose. Their level of glucose in the blood was high, ketone and glucose in the urine, ketones in urine and serum. Their serum bicarbonate less than 12 mmol / L. Her breathing was exaggerated and that his breath smelled of acetone. His blood pressure was 90/60, his pulse weak and fast (120).


What is the cause of dyspnea, hypotension and tachycardia?

1 comment:

Corky said...

I usually start ... This classic is diabetic ketoacidosis (DKA), an anion gap metabolic acidosis. Initial treatment should focus on rehydration and get your blood sugar checked down.

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