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A patient has an A1c of 12.8. The ABG values are: pH 7.12; PaO2 88; PaCO2...

A patient has an A1c of 12.8. The ABG values are: pH 7.12; PaO2 88; PaCO2 37; HCO3 13. What will the nurse suspect?

A.

Increased body pain

B.

Increased respirations

C.

Increased heart rate

D.

Decreased urine output
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Answer #1

A patient has an A1c of 12.8. The ABG values are: pH 7.12; PaO2 88; PaCO2 37; HCO3 13.

Indicates that pts have poor glycemic control.

Increased blood glucose level indicates diabetes in this fat metabolism increases due to lack of insulin.

Results in ketone formation that can lead to acidification of blood. (DKA) itself is a major cause of metabolic acidosis  

Above given situation indicates acute metabolic acidosis so answer goes to increase respiration (kussumal respiration)

It can occur for compensation or a symptom of DKA

More or less increase heart rate also seen or we can say dysarrhythemia can see because of increased lactic acidosis and this will lead to affect normal body functioning.

If you have any query we will discuss in comment section otherwise please like Thanks

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