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A 42-year-old African-American man with long-standing type I diabetes presents with gastroenteritis that has been worsening over the past 3 days. ‘Symptoms include a combination of nausea, vomiting, abdominal cramping, and diarrhea. VS: T – 99.1°F; BP – 90/55 mm Hg: HR – 135 beats/min; RR – 35 breaths/min. Laboratory findings are as follows: Blood glucose: 450 mg/dL Sodium: 127 mEq/L Potassium: 4.2 mEq/L HCO3: 14 mEq/L Anion gap: 25 PH: 7.05 What is the most appropriate initial step in the treatment of this patient? What is the Diagnosis?
SCIENCE
HEALTH SCIENCE
NURSING

 
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