A boy of 9 years old, suffering from type 1 diabetes for 6 years. Treated with insulin and diet. In the last 2 days, the mother did not inject insulin, because her baby got worse appetite. Glycemic control has not been performed. The boy had a thirst, dry mouth, weakness, laxity, increased diuresis; soon – nausea, vomiting, abdominal pain.Objectively: The condition is broken. The child is flabby, headache, appetite lowered, nausea, vomiting. Impatient with severe abdominal pain. The smell of acetone in exhaled air. Skin is dry, “diabetic rubose”. Lips are dry, red. The tongue is dry, covered with a brown bloom. The tissue turgor is lowered. Breathing is frequent, loud. Heart tones are weakened, 100 beats / min. Blood pressure is normal. The abdomen is tense and painful when palpated. Liver +2 cm Diuresis increased. The parents turned to the district pediatrician.Answer the questions:1. Diagnosis? 2. What is the reason for the development of this state? 3. Doctor’s tactics.4. Basic laboratory indices of diabetic ketoacidosis. 5. What is the daily requirement for insulin for a given child after withdrawal from ketoacidosis?
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[Answered]: A boy of 9 years old, suffering…