A 21-year-old male with Type I diabetes was taken to the emergency department. Upon admission he appeared confused and exhibited headache, nausea, dry mouth and excessive thirst. His breathing is rapid, and his breath had a fruity odor. The whole blood point of care glucose value read 543 mg/dL and his urinalysis showed a positive ketone test. Arterial blood gas, electrolytes, glucose, and lactate tests were ordered and the available results are provided below. Arterial Blood Gas Results Analyte Patient Result Reference Interval pH 7.255 7.35-7.45 pCO2 35 mm Hg 35-45 mm Hg HCO3- 13 mmol/L 22-26 mmol/L pO2 85 mmol/L 85-105 mmol/L Electrolyte Results Analyte Patient Result Reference Interval Sodium 126 mmol/L 135-145 mmol/L Potassium 5.3 mmol/L 3.5-5.1 mmol/L Chloride 110 mmol/L 98-107 mmol/L Bicarbonate 12 mmol/L 22-29 mmol/L Analyte Patient Result Reference Interval Glucose 675 mg/dL 70-100 mg/dL Lactate In-progress 0.3-2.0 mmol/L 1. What is the patient’s disorder based on history and lab results? 2. Predict his lactate result (increased, decreased, or normal) and explain your reasoning for your answer to get full credit.
[Expert Solution]: A 21-year-old male with Type I diabetes…
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