Metabolic Acidosis...

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I need a little help on a question...

The patient is a 13 year old who presented to the ER unconscious with rapid breathing. His potassium is 5.2,glucose 420and is positive for ketones. He is in metabolic acidosis.

I'm thinking I would give him Kayexalate to decrease the potassium. ?

Start a second line for fluid resuscitation. I am slightly sure those are actions I would take..

But would I Initiate IV of NS 500 ml with Regular insulin 60 units at 50 mL/hr, give 2 L O2, and start a foley as well?

Just when I thought I was out of this thread.....

Whoever gave you this scenario should be slapped with a full colostomy bag.

:wideyed:

Lol, what a visual.

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