A 22-year-old woman with type 1 diabetes presents with Kussmaul breathing. ABG: pH 7.10, PaCO₂ 15 mmHg, PaO₂ 110 mmHg, HCO₃⁻ 5 mmol/L. Na⁺ 140, K⁺

Question

A 22-year-old woman with type 1 diabetes presents with Kussmaul breathing. ABG: pH 7.10, PaCO₂ 15 mmHg, PaO₂ 110 mmHg, HCO₃⁻ 5 mmol/L. Na⁺ 140, K⁺ 5.8, Cl⁻ 100 mmol/L. What is the acid-base disturbance?

Accepted Answer

Metabolic acidosis with respiratory compensation

Answer

Acute respiratory acidosis

Answer

Mixed respiratory and metabolic acidosis

Answer

Chronic respiratory alkalosis

Answer

Chronic respiratory acidosis with acute decompensation

DKA Acid-Base — RACP Adult Medicine MCQ

A 22-year-old woman with type 1 diabetes presents with Kussmaul breathing. ABG: pH 7.10, PaCO₂ 15 mmHg, PaO₂ 110 mmHg, HCO₃⁻ 5 mmol/L. Na⁺ 140, K⁺ 5.8, Cl⁻ 100 mmol/L. What is the acid-base disturbance?