An older patient presents with a serum glucose level of 900 mg/dL, hematocrit of 55%, and no serum ketones.Immediate attention must be given to
A) clotting factors.
B) rehydration.
C) administration of insulin.
D) sodium replacement.

Question

Quizplus · Accepted Answer

The physical examination may reveal a profound fluid deficit.Signs of severe dehydration include longitudinal wrinkles in the tongue, decreased salivation, and decreased central venous pressure, with increases in heart rate and rapid respirations (Kussmaul air hunger does not occur).In older patients, assessment of clinical signs of dehydration is challenging.

An Older Patient Presents with a Serum Glucose Level of 900