A 21-year-old woman presents with a five-day history of vomi…
A 21-year-old woman presents with a five-day history of vomiting and lethargy. She is confused and hypotensive with Kussmauls respirations. You obtained an arterial blood gas on room air and the results are as follows: pH 7.30, Pa02 90 mmHg, HC03 13 mEq/L, PaC02 41 mmHg, BE -5, Na 135 mmol/L, K 4.9 mmol/L, Cl 102 mmol/L, and glucose of 486 mg/dl. What could you conclude about the condition of this patient?
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