Mr. H., a 45-year-old African American man with a history of type 2 diabetes mellitus
and alcohol abuse, was brought to the hospital by ambulance following 3 days of nausea
and vomiting. En route to the emergency department, he was noted to have a decreased
level of responsiveness, and a blood glucose test strip indicated elevated blood glucose
levels. His initial systolic blood pressure upon arrival to the emergency department
was 40 mm Hg by Doppler examination. An arterial blood gas measurement revealed a
pH of 6.84. He was intubated, placed on mechanical ventilation, started on vasopressor
support with dopamine, and transferred to the medical intensive care unit.
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Article info
Footnotes
Charles M. Wiener, MD, Section Editor
Identification
Copyright
© 2006 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
