Emergency Record
A 74-year-old client with type 2 diabetes and stage 3 chronic kidney disease has had fever and poor intake for 3 days. The client is drowsy and disoriented, with dry mucous membranes, BP 92/54 mm Hg, HR 112/min, glucose 824 mg/dL, effective serum osmolality 326 mOsm/kg, potassium 3.4 mmol/L, pH 7.36, beta-hydroxybutyrate 1.2 mmol/L, creatinine 2.3 mg/dL, baseline 1.4 mg/dL, and SpO2 97 percent on room air.
緊急記録
74歳の2型糖尿病、ステージ3慢性腎臓病の患者は、3日間発熱と経口摂取不良がありました。患者は傾眠状態と見当識障害で、口腔粘膜の乾燥、血圧92/54 mm Hg、心拍数112/分、血糖値824 mg/dL、有効血清浸透圧326 mOsm/kg、カリウム3.4 mmol/L、pH 7.36、β-ヒドロキシ酪酸1.2 mmol/L、クレアチニン2.3 mg/dL、ベースライン1.4 mg/dL、SpO2室内気で97%です。