SAQ 799 – Endocrinology – euglycaemic DKA with SGLT2 inhibitor

A 70-year-old woman presents with three days of abdominal cramping, vomiting and diarrhoea, followed by 12 hours of mild confusion, drowsiness and fatigue. Her past history is hypertension and type 2 diabetes. Her medications are amlodipine and Jardiamet, which contains empagliflozin and metformin.

List four (4) important findings from the VBG, with calculations or explanation for each abnormality.

(Marked out of 8.0)

</p> <table class="saq-prop-table" style="width: 100%; max-width: 100%; table-layout: fixed; border-collapse: collapse;"> <thead> <tr> <th style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Finding</th> <th style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Calculation or explanation</th> </tr> </thead> <tbody> <tr> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">1</td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> </tr> <tr> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">2</td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> </tr> <tr> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">3</td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> </tr> <tr> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">4</td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> </tr> </tbody> </table> <p>

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Her blood ketone level is 4.2 mmol/L and glucose remains normal at 6.2 mmol/L. Vitals are normal but she is mildly confused with ongoing gastrointestinal symptoms. List four (4) initial IV treatments in the ED.

(Marked out of 4.0)

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Total Score: 0 / 12

Percentage: 0%