A 12-year-old boy is brought to the emergency department with a 2-day history of vomiting, abdominal pain, and rapid breathing. He has a history of type 1 diabetes mellitus but has been nonadherent with insulin therapy. On exam, he is tachypneic with deep respirations and has a fruity odor on his breath. Labs show a glucose of 540 mg/dL. Which of the following combinations of findings is most likely to be seen in this patient?
↑ Serum K+; ↑ Total body K+; ↑ CO2; ↑ Bicarb
↑ Serum K+; ↑ Total body K+; ↑ CO2; ↓ Bicarb
↑ Serum K+; ↑ Total body K+; ↓ CO2; ↑ Bicarb
↑ Serum K+; ↓ Total body K+; ↑ CO2; ↑ Bicarb
↑ Serum K+; ↑ Total body K+; ↓ CO2; ↓ Bicarb
↑ Serum K+; ↓ Total body K+; ↑ CO2; ↓ Bicarb
↑ Serum K+; ↓ Total body K+; ↓ CO2; ↑ Bicarb
↑ Serum K+; ↓ Total body K+; ↓ CO2; ↓ Bicarb
↓ Serum K+; ↑ Total body K+; ↑ CO2; ↑ Bicarb
↓ Serum K+; ↑ Total body K+; ↑ CO2; ↓ Bicarb
↓ Serum K+; ↑ Total body K+; ↓ CO2; ↑ Bicarb
↓ Serum K+; ↓ Total body K+; ↑ CO2; ↑ Bicarb
↓ Serum K+; ↑ Total body K+; ↓ CO2; ↓ Bicarb
↓ Serum K+; ↓ Total body K+; ↑ CO2; ↓ Bicarb
↓ Serum K+; ↓ Total body K+; ↓ CO2; ↑ Bicarb
↓ Serum K+; ↓ Total body K+; ↓ CO2; ↓ Bicarb
↑ Serum K+; ↑ Total body K+; ↑ CO2; ↓ Bicarb
↑ Serum K+; ↑ Total body K+; ↓ CO2; ↑ Bicarb
↑ Serum K+; ↓ Total body K+; ↑ CO2; ↑ Bicarb
↑ Serum K+; ↑ Total body K+; ↓ CO2; ↓ Bicarb
↑ Serum K+; ↓ Total body K+; ↑ CO2; ↓ Bicarb
↑ Serum K+; ↓ Total body K+; ↓ CO2; ↑ Bicarb
↑ Serum K+; ↓ Total body K+; ↓ CO2; ↓ Bicarb
↓ Serum K+; ↑ Total body K+; ↑ CO2; ↑ Bicarb
↓ Serum K+; ↑ Total body K+; ↑ CO2; ↓ Bicarb
↓ Serum K+; ↑ Total body K+; ↓ CO2; ↑ Bicarb
↓ Serum K+; ↓ Total body K+; ↑ CO2; ↑ Bicarb
↓ Serum K+; ↑ Total body K+; ↓ CO2; ↓ Bicarb
↓ Serum K+; ↓ Total body K+; ↑ CO2; ↓ Bicarb
↓ Serum K+; ↓ Total body K+; ↓ CO2; ↑ Bicarb
↓ Serum K+; ↓ Total body K+; ↓ CO2; ↓ Bicarb

