You are assessing a 70-year-old female who complains of intense thirst, frequent urination, and dizziness. she has a history of type 2 diabetes, heart disease, rheumatoid arthritis, and gout. her blood glucose reads high. she is conscious, but confused. her blood pressure is 92/52 mm hg, her pulse rate is 130 beats/min and weak, and her respirations are 22 breaths/min and shallow. this patient's clinical presentation is most consistent with:

You are assessing a 70-year-old female who complains of intense thirst, frequent urination, and dizziness. she has a history of type 2 diabetes, heart disease, rheumatoid arthritis, and gout. her blood glucose reads high. she is conscious, but confused. her blood pressure is 92/52 mm hg, her pulse rate is 130 beats/min and weak, and her respirations are 22 breaths/min and shallow. this patient's clinical presentation is most consistent with:

 - hyperosmolar hyperglycemic nonketotic syndrome.