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Don, 38-year-old male, has type 1 diabetes mellitus. He hasn't been feeling well for the last 3 days and hasn't eaten or injecting his insulin. He's...

Don, 38-year-old male, has type 1 diabetes mellitus. He hasn't been feeling well for the last 3 days and hasn't eaten or injecting his insulin. He's confused and lethargic. His respiration rate is 32 breath/minute, and his breath has a fruity odor. His serum glucose level is 620 mg/dl. While receiving 40% O2, his ABG values are:

pH = 7.15

PaCo2 = 40 mmHg (normal: 38 - 42 mmHg)

PaO2 = 130 mmHg (normal 75- 100 mmHg)

HCO3- = 10 mEq/L (normal: 22 - 28 mEq/L)

SaO2 = 94% (normal 94 -100%)

Make assessment of his blood gas analysis and explain how you came to the conclusion. Blood gas abnormalities diagnosis should be followed by what is the cause of the abnormality. 

WHAT MIGHT BE THE Possible diagnoses!!

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