A patient in diabetic ketoacidosis has the following arterial blood gasses: pH 7.25; pCO2 30 mm Hg; HCO3- 16 . The patient has rapid, regular respirations. The nurse's best response would be to
a. ask the patient to breathe into a paper bag to retain CO2.
b. administer sodium bicarbonate.
c. administer insulin and fluids intravenously.
d. prepare for intubation.
C
Replacement of fluid volume and insulin interrupts the ketotic cycle and reverses the metabolic acidosis. In the presence of insulin, glucose enters the cells, and the body ceases to convert fats into glucose.
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