SAQ Stack

Short Answer Questions for ED Fellowship Study

Case: Diabetic ketoacidosis with high anion gap acidosis

A 30-year-old female is brought in by ambulance with multiple episodes of vomiting and abdominal pain. She has a past history of type 1 diabetes mellitus and is noncompliant with medications. T 37.5

  • HR 130
  • BP 100/60
  • RR 35
SaO2 95%
  • GCS 14
VBG: pH 7.05 pCO2 25 HCO3 10 BE -10 Na 132 K 5 Cl 92 Glu 50 Lactate 5

1. Interpret the gas result by completing the following tables. 4 marks

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2. Excluding medication noncompliance, list (4) possible precipitating factors of this condition. 4 marks

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3. Outline your key goals of treatment in this patient. 4 marks

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This case forms part of a collaborative marking project designed to support fellowship preparation. In the week leading up to each tutorial, you can contribute answers to any active case. If you contribute, your answers may be reviewed, marked, and used to refine the model answers during the weekly fellowship teaching sessions.

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