Diabetes Case Study & Questions Daryl is a 21 year old male with a history of Type 1 Diabetes. He is brought to the ER by his parents because he seems anxious and confused and has been experiencing nausea and vomiting. Upon exam he appears ill with dry mucous membranes and decreased skin turgor. His breath smells fruity, his pulse is rapid and weak, and his respirations are rapid and deep. His laboratory values include the following: Glucose 350 mg/dl, K+ 5.9 mEq/L, and his urine dipstick is positive for glucose and ketones. He is scheduled for an ABG. Daryl’s mother says to you, “I don’t understand. I thought diabetes was for older people who were fat.” Given your knowledge of the etiology of the condition, how would you respond? What do the presence of ketones in the urine signify? Describe the pathogenesis. What are the expected findings on Daryl’s ABG in terms of pH, PaCO2, and HCO3? Explain. Describe the pathogenesis of Daryl’s dehydration. What is one potential complication of his dehydration? What is the significance of Daryl’s potassium level and is this an expected finding? What change might you anticipate after treatment?
[Answered]: Diabetes Case Study & Questions Daryl is a 21…
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