Mr. Sweet, 38 years old, is brought to the Emergency Department unresponsive. He has a history of Type 1 diabetes and has been sick for the last 3 days. On admission his Blood sugar is 532, Potassium is 7.2 and ABG results include pH 7.08, Bicarb 12, and CO2 28. His VS are HR 116, BP 107/64, RR 36 Deep and rapid, and Temp 101.5. Answer the following questions:

1. What interventions do expect to be ordered for Mr. Sweet? Why?
2. What type of acid-base disturbance does he have?
3. What do you think is Mr. Sweet’s Medical Diagnosis?

Interpret the following Arterial Blood Gases

1. pH 7.33 PaCO2 60 HCO3 34

A. Normal ABG values

B. Respiratory acidosis without compensation

C. Respiratory acidosis with partial compensation

D. Respiratory acidosis with full compensation

2. pH 7.48 PaCO2 42 HCO3 30

A. Metabolic acidosis without compensation

B. Respiratory alkalosis with partial compensation

C. Respiratory alkalosis with full compensation

D. Metabolic alkalosis without compensation

3. pH 7.38 PaCO2 38 HCO3 24

A. Respiratory alkalosis

B. Normal

C. Metabolic Alkalosis

D. None of the above

4. pH 7.21 PaCO2 60 HCO3 24

A. Normal

B. Respiratory acidosis without compensation

C. Metabolic acidosis with partial compensation

D. Respiratory acidosis with complete compensation

5. pH 7.48 PaCO2 28 HCO3 20

A. Respiratory alkalosis with partial compensation

B. Respiratory alkalosis with complete compensation

C. Metabolic alkalosis without compensation

D. Metabolic alkalosis with complete compensation