Case Report
A Rare and Lethal Complication: Cerebral Edema in the Adult Patient with Diabetic Ketoacidosis
Table 1
Lab values during the patient’s clinical course. Timing is shown from time of initial evaluation and blood glucose reading from handheld glucometer.
| | 1 hour | 6 hours | 28 hours | (Initial labs) | (Unresponsive) | (Cardiac arrest) |
| Sodium (mEq/L) | 132 | 139 | 170 | Chloride (mEq/L) | 92 | 100 | 138 | Potassium (mEq/L) | 6.4 | 3.8 | 3.7 | Bicarbonate (mEq/L) | 7 | 8 | 18 | Calculated plasma Osmolarity (mEq/L of Water) | 325 | 314 | 363 | Blood urea nitrogen (mg/dl) | 42 | 30 | 29 | Creatinine (mg/dl) | 2.0 | 1.42 | 3.78 | Glucose (mg/dl) | 838 | 471 | 243 | Calculated anion gap | 33 | 31 | 14 | Acetone | “LARGE” | | |
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Plasma osmolarity calculated as 2[Na] + [glucose]/18 + [BUN]/2.8. |