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PCCN Progressive Care Certified Nursing

Category - PCCN

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A known diabetic presented in accident and emergency department with Hyperventilation, and was also very thirsty. On examination, the patient was having kussmaul breathing and specific ketone breath was there as well. He was dehydrated and glucose level was 500 mg /dl. What is the most likely diagnosis?
  1. Hyperglycemia
  2. Diabetes mellitus
  3. Diabetes insipidus
  4. Ketoacidosis
Explanation
Answer: D - The most likely diagnosis for this patient that is dehydrated and thirsty is keotacidosis because in ketoacidosis, there are kussmaul respirations and ketone breath. The glucose levels are between 300 to 800 mg/dl in ketoacidosis.
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