sandra
Forum Guru
Topics: 178
Posts: 422
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A 12-year-old girl with type 1 diabetes mellitus is
brought to the
physician because of shortness of breath and fatigue
for 1 day. Since
menarche began 4 months ago, she has had one episode
of diabetic
ketoacidosis per month; prior to that she had been
stable. Her blood pressure is
110/70 mm Hg, pulse is 140/min, and respirations are
36/min. She
appears to be moderately dehydrated. Laboratory
studies show:
Serum
Na+ 132 mEq/L
Cl– 90 mEq/L
K+ 5.9 mEq/L
HCO3– 6 mEq/L
Urea nitrogen (BUN) 48 mg/dL
Glucose 600 mg/dL
Creatinine 2.8 mg/dL
Urine
Glucose 4+
Ketones 3+
Protein 1+
Which of the following is the most likely underlying
cause of this
patient's respiratory disorder?
A
) Acute interstitial nephritis
B
) Acute renal failure
C
) Diabetic nephropathy
D
) Hyperinsulinemia
E
) Increased plasma ketone level
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| Miradautas Vras
Forum Senior
Topics: 8
Posts: 154
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E. Plasma ketone level increase. She has frank anion gape metabolic acidosis due to DKA and trying to compensate with hyperventilation
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| shahnaz.r
Forum Junior
Topics: 6
Posts: 72
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Agree with E.
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