A 51-year-old man with type 2 diabetes presents with confusion, blurred vision, and signs of significant dehydration. According to the man's wife, he has had a fever and flu-like symptoms for the past few days. She further tells you that he has "stuck to his diet" as advised by his physician. His blood pressure is 90/50 mm Hg, pulse is 120 beats/min and weak, and respirations are rapid and shallow. You assess his blood glucose level, which reads "high." This patient is MOST likely:

A) producing ketones due to fat metabolism.
B) experiencing hyperosmolar nonketotic coma.
C) significantly acidotic and requires bicarbonate.
D) hyperglycemic secondary to being dehydrated.


Answer: B) experiencing hyperosmolar nonketotic coma.

Anatomy & Physiology

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Anatomy & Physiology