A 21-year old female (A.M.) presents to the urgent care clinic with symptoms of nausea, vomiting, diarrhea, and a fever

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A 21-year old female (A.M.) presents to the urgent care clinic
with symptoms of nausea, vomiting, diarrhea, and a fever for 3
days. She states that she has Type I diabetes and has not been
managing her blood sugars since she’s been ill and unable to keep
any food down. She’s only tolerated sips of water and juices. Since
she’s also been unable to eat, she hasn’t taken any insulin as
directed. While helping A.M. from the lobby to the examining room
you note that she’s unsteady, her skin is warm and flushed, and
that she’s drowsy. You also note that she’s breathing rapidly and
smell a slight sweet/fruity odor. A.M. has a challenge answering
questions but keeps asking for water to drink.
You get more information from A.M. and learn the following:
Current labs and vital signs: