1. Scenario 6.1 Diabetic Ketoacidosis

2. Chest X-ray

3. ECG

4. CBC WBC14.28000-12 000/mm 3 HGB14.111-15 g/dL HCT4230-43% PLT430150 000-450 000/mm 3

5. BMP Glucose67465-100 mg/dL BUN445-20 mg/dL Sodium128136-145 meq/L Potassium3.83.5-5.5 meq/L Chloride98100-106 meq/L CO 2 1022-32 meq/L Creatinine3.60.2-1.4 mg/dL

6. Arterial Blood Gas Arterial blood pH7.057.35-7.45 Arterial PO 2 10560-70 mmHg Arterial CO 2 1935-45 mmHg Arterial HCO 3 1022-26 mmol/L Arterial % sat.99%96-100%

7. Clarityclear Coloryellow Glucose>1000negative (mg/dL) Bilirubinnegative Ketoneslargenegative (mg/dL) Sp. grav.1.0201.003-1.040 Bloodnegative pH5.05.0-8.0 Proteinnegativenegative mg/dL Urobilinogen0.10.2 EU/dL Nitritespositivenegative Leukocytespositivenegative Urinalysis

8. Urine Microscopy Urine RBCsoccasionalNS/HPF Urine WBCs>50/HPFNS/HPF Urine epithelia1-5/HPFNS/HPF Urine bacteriaLarge/HPF Urine castsNone seenNS/LPF