Deep breathing, and a potassium of 3.1
Clinical caseEmergency4 min

A 19-year-old woman with vomiting for 24 hours is drowsy and hyperventilating deeply at rest. Glucose is unrecordably high, pH 7.1, bicarbonate low, ketones strongly positive. Her potassium is 3.1 mmol/L. Fluids are running.