SAQ 653 – Endocrinology – hyperosmolar hyperglycaemic state with drowsiness

Marked out of 9.00

You are managing a 70-year-old man with drowsiness and type II diabetes. His weight is 50 kg. The venous blood gas is shown below.

Test Result Reference range
pH 7.38 7.35-7.45
pCO2 49 mmHg 41-51
pO2 31 mmHg 20-40
Bicarbonate 28 mmol/L 21-30
Sodium 151 mmol/L 135-145
Potassium 5.1 mmol/L 3.5-5.0
Chloride 110 mmol/L 95-107
Lactate 1.9 mmol/L 0.5-2.0
Glucose 49.6 mmol/L 3.0-10.0
Urea 15 mmol/L 3.5-10.0
Creatinine 130 micromol/L 60-115

Derive three (3) calculations using the shown results to assist interpretation.

(Marked out of 3.0)


/ 3

What is the likely diagnosis?

(Marked out of 1.0)


/ 1

State five (5) management priorities.

(Marked out of 5.0)


/ 5

Total Score: 0 / 9

Percentage: 0%