information
(16 year)senior high school female
brought to the ER by friends
parents on sunday at 2 am
she is a thin girl
holds a vomiting can
sitting on bed
was in a party with friends
wakes up during the night for
urination
has diabetes
takes insulin (lantus and actrapid)
hasnt taken insulin in 2 days
1 Liter of saline was transfused
4 Units/h of human soluble insulin
symptoms PE, LAB RES, investigations hypothesis LOB's
looks tierd high levels of ketones diabetes mellitus type 1 Metabolic acidosis, ketoacidosis
breaths deeply with rush and blood glucose level 24.5mmol\l on pancreas anatomy, physioloigy and
diabetic ketoacidosis
effort finger capillary histology, and endocrine function
nausea BP= 100\60 mmHg Mechanism of vomiting
vomitted 6 times temperature= 36.8°C all about diabetes\ insulin
thirstiness irregular pulse of 110 bpm major pathways in the body
frequent urination maintaining blood glucose
ketone bodies and pathway for their
no hematuria, no dysruia
production
has diabetes insulin and glucagon in the body
disoriented buffer system in blood
dry mucosa metabolic acidosis (lungs and kidneys)
plasma glucose concentration
acetone smell
exceeding the renal threshold
normal levels of K/ Na during diabetic
ketoacidosis
micro and macrovascular disease in
diabetes (patho)
monitoring and management of DM
all about endocrine system