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.
急診記錄
一位 74 歲患有第 2 型糖尿病和第 3 期慢性腎臟病的病人，發燒且攝取不良已 3 天。病人嗜睡且定向力障礙，伴有黏膜乾燥，血壓 92/54 mm Hg，心率 112/min，血糖 824 mg/dL，有效血清滲透壓 326 mOsm/kg，血鉀 3.4 mmol/L，pH 值 7.36，β-羥丁酸 1.2 mmol/L，肌酸酐 2.3 mg/dL，基準值 1.4 mg/dL，以及室內空氣下 SpO2 97%。