SOLVED3108

A girl 18 years, suffers from diabetes for 5 years. She is treated with basic-bolus insulin therapy – 36 units of insulin/day. During pneumonia condition sharply deteriorated – increased thirst, abdominal pain, nausea, vomiting, drowsiness. The patient refused the food has not received an injection of insulin, and in the morning lost consciousness. Objectively: patient is unconscious. The skin is dry, turgor reduced. Tongue dry. Breathing noisy, deep, smell of acetone. Body temperature – 36,6 Ö C, pulse – 100/min, BP – 90/50 mm Hg. In urine positive reaction to acetone. Glycemia – 33 mmol/l. What preliminary diagnosis? 1. Diabetic ketoacidosis 2. Hyperosmolar coma 3. lactic acidosis 4. Hepatic coma 5. Cerebral coma
SCIENCE
HEALTH SCIENCE
NURSING

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