Case #1 A 56-year-old man with a history of diabetes mellitus and alcoholism presents after having eaten no food and taken no insulin for the last 3 days. He reports drinking “lots” of alcohol. The patient is hypotensive, tachycardic, and markedly tachypneic (respiratory rate 36). He smells strongly of acetone and is dehydrated. Clinical findings are consistent with left lower lobe pneumonia. Results of ABG testing are: Po2 = 68 mm Hg,PcO2=17mmHg,HCO3-=6mE(q)/(L), and pH=7.30. What is the acid-base abnormality? Is he attempting to compensate? Explain your answer. What would his acid-base profile be if his respiratory rate were 14 breath(s)/(m)inute? How would you treat this patient? Explain.
[Answered]: Case #1 A 56-year-old man with a history of…
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