H 7.28,HCO₃- 18mEq/L,PCO₂ 28mm Hg, PO₂ 98 mmHg is the gas value that nurse would identify as potential Ketoacidosis, when nurse assess a patient with diabetes mellitus.
"DKA or Diabetic Ketoacidosis is when serum concentration of ketones is greater than 5 mEq/L, a blood sugar level greater than 250 mg/dL and a blood pH less than 7.3. Diabetic ketoacidosis is a serious complication of diabetes that occurs when body produces increased levels of blood acids called ketones. This condition develops when a body can't produce enough insulin on its own."
"In patients with DKA, arterial blood gases frequently show typical manifestations of metabolic acidosis, low bicarbonate, and low pH . Some symptoms includes thirst, frequent urination, nausea, abdominal pain, weakness, fruity-scented breath and confusion."
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