question archive You send serum ketones and the result is 1:16 dilution

You send serum ketones and the result is 1:16 dilution

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You send serum ketones and the result is 1:16 dilution. Hours later the patient looks better clinically but her ketone level is 1:64. How do you explain this? What's the best way to follow this patient's acid/base status?

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