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Asked by abdulazizzainab
RJ, a 47-year-old male presented to the emergency room with confusion for the past 5 days. He and his family had just returned from vacation. The patient didn’t remember exactly when or how his symptoms started, it came on slowly during the last days of his trip. He remembered feeling weak before he started to get confused. As soon as the family returned home, his wife drove him directly to the closest emergency room (ER). PMH: Type 2 diabetes, hypertension, hypercholesterolemia Labs: Date Admi ssion Date Admission Na 126 K 4.5 Ca 10.7 Cl 80 HCO 3 28 Mg 2.5 BUN 51 Ale 10.3 SCr 1.9 Glu 958 pH 7-35 Urinalysis: ( ) bacteria, trace ketones, (-) hemoglobin, (-) protein QUESTION: What is the most likely cause of the patient’s current hyperglycemia? Answers: A – D A Poor diet B Diabetic ketoacidosis C Catecholamine surge triggered by acute stress D Hyperosmotic hyperglycemic state
SCIENCE
HEALTH SCIENCE
NURSING
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