A child has been admitted to the hospital while unconscious. The child has a history of insulin-dependent diabetes mellitus (IDDM), and according to the child's mother, he took a normal dose of insulin this morning with breakfast
At school, the child had two pieces of birthday cake and some ice cream at a class birthday party. What is the likely reason for this child's unconscious state? 1. Metabolic alkalosis
2. Metabolic ketoacidosis
3. Insulin shock
4. Insulin reaction
2
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1. The child is becoming acidotic in this state.
2. Metabolic acidosis or ketoacidosis could have occurred because of the excessive intake of sugar with no additional insulin. Altered consciousness occurs as symptoms progress.
3. Insulin shock is not occurring because the child is in an acidotic state.
4. The body burns fat and protein stores for energy when no insulin is available to metabolize glucose.
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