Emergency Record\nThe client takes empagliflozin for type 2 diabetes. During two days of fever and minimal intake, the client developed repeated vomiting and deep rapid respirations. Results are glucose 184 mg/dL, bicarbonate 12 mEq/L, venous pH 7.24, and beta-hydroxybutyrate 5.2 mmol/L. The creatinine is 0.9 mg/dL, the lactate is 1.4 mmol/L, the oxygen saturation is 98% on room air, the abdomen is soft without guarding, the no recent alcohol intake is reported, and the last A1C was 7.2 percent.
Emergency Record\nThe client takes empagliflozin for type 2 diabetes. During two days of fever and minimal intake, the client developed repeated vomiting and deep rapid respirations. Results are glucose 184 mg/dL, bicarbonate 12 mEq/L, venous pH 7.24, and beta-hydroxybutyrate 5.2 mmol/L. The creatinine is 0.9 mg/dL, the lactate is 1.4 mmol/L, the oxygen saturation is 98% on room air, the abdomen is soft without guarding, the no recent alcohol intake is reported, and the last A1C was 7.2 percent.