A 23 year old female has had type I diabetes since she was 8 years old.


Question Number 0935
Question:
A 23 year old female has had type I diabetes since she was 8 years old. She goes on a camping trip with her friends, and forgets to bring soap, shampoo, toothpaste, and insulin. She starts to feel ill. She develops a funny smell, and initially her friends think its because she forgot all her toiletries. But the smell is unusual; it is a fruity smell to her breath. She also starts breathing very rapidly with shallow respirations. Her friends realize something is wrong, and take her to the hospital. Laboratory work is done and her results are as following LABORATORY RESULTS :pCO2-33 mm Hg(35-45 mm Hg) ;pH-7.25 ( 7.35-7.45); bicarbonate 14 mEq/L( 24 mEq/L) Na+ 170 mEq/L( 135-145 mEq/L) K+ 3.0 mEq/L ( 3.5-5.5 mEq/L) Cl-115 mEq/L( 98-109 mEq/L) What is the primary disorder?
a) metabolic acidosis with a normal anion gap
b) metabolic acidosis with an elevated anion gap
c) metabolic alkalosis
d) respiratory acidosis
e) respiratory alkalosis


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