Question 02

In Diabetic Ketoacidosis (DKA), which of the following is the least likely finding on physical examination?
Increased HR
Decreased RR
Decreased peripheral perfusion
Decreased BP
Disorientation
Check answer

Explanation

The typical findings would include:

  • Moderate to severe dehydration
  • Decreased perfusion or shock ( dehydration, decreased peripheral perfusion also due to acidosis)
  • Weight loss
  • Flushed cheeks from ketosis
  • Acetone smell on breath
  • Hyperventilation (Kussmaul breathing) increased respiratory rate, large tidal volume, sighing quality due to acidosis
  • Drowsiness, confusion or coma
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