46 yr old male Called to home for high blood sugar PMHx of | Figure 1

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Case Details

46 yr old male
Called to home for high blood sugar
PMHx of diabetes and renal failure w/dialysis. Pt and family claim patient did not miss dialysis.

Pt was lethargic and diaphoretic. Pt complained of no pain.
BGL: "HI"
RR: 35 kussmaul respiration’s
HR: 80’s-90’s
BP:103/86

Follow Up on This Patient:
In the ER pt was administered 2 amps of calcium very quickly. This patient went into cardiac arrest shortly after. ROSC was obtained. It was discovered that he had missed a dialysis appointment. Patient went for emergency dialysis following ROSC.

His potassium was 8
His BGL was over 1100.

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