Patient S., 45 years old, who suffers from diabetes, was admitted to the emergency department in a serious condition. It is known that on the eve patient grossly violated diet and introduced an insufficient dose of insulin. The patient noted confusion, previously disturbed nausea, was a vomiting. Odour of acetone in exhaled air. Respiratory rate - 32 min/1, HR - 105 min/1, BP - 95/60 mm Hg. Blood ketone bodies - 9.9 mmol/l. Electrolytes: K+-6.5 mmol /l, Ca2 + - 2.75 mmol/l. ECG: sinus tachycardia, extra systoles unit, high, narrow, pointed positive T waves, shortening of electrical ventricular systole (QT). pH of blood -7,2 The is the primary mechanism for shifting the pH of blood plasma at the violation of the acid - base homeostasis in the patient:

Patient S., 45 years old, who suffers from diabetes, was admitted to the emergency department in a serious condition. It is known that on the eve patient grossly violated diet and introduced an insufficient dose of insulin. The patient noted confusion, previously disturbed nausea, was a vomiting. Odour of acetone in exhaled air. Respiratory rate - 32 min/1, HR - 105 min/1, BP - 95/60 mm Hg. Blood ketone bodies - 9.9 mmol/l. Electrolytes: K+-6.5 mmol /l, Ca2 + - 2.75 mmol/l. ECG: sinus tachycardia, extra systoles unit, high, narrow, pointed positive T waves, shortening of electrical ventricular systole (QT). pH of blood -7,2 The is the primary mechanism for shifting the pH of blood plasma at the violation of the acid - base homeostasis in the patient:

lack of bicarbonate

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