Which laboratory pattern is most consistent with diabetic ketoacidosis?
Correct answer: B. High glucose, low bicarbonate and positive ketones
- A. High glucose, high bicarbonate and low ketones
- B. High glucose, low bicarbonate and positive ketones
- C. Normal glucose, high bicarbonate and positive ketones
- D. Low glucose, low bicarbonate and negative ketones
Explanation
Diabetic ketoacidosis causes insulin deficiency, increased ketone production and metabolic acidosis. Therefore, blood glucose is elevated, bicarbonate is reduced and ketones are present. A high bicarbonate level does not indicate ketoacidosis.
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About Endocrine and Diabetes Nursing
Covers diabetes mellitus, insulin therapy, hypoglycaemia, diabetic ketoacidosis, hyperosmolar states and common thyroid, adrenal and pituitary disorders. It includes blood glucose monitoring, diet, foot care, sick-day management and the clinical differences between type 1 and type 2 diabetes and between diabetic ketoacidosis and hyperosmolar hyperglycaemic state.
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