what electrolyte imbalances with initial DKA? {Ans: hyperkalemia and hyponatremia sodium is lost in urine with DKA first hyperkalemia with extracellular shift of potassium in exchange of hydrogen, which is accumulated in acidosis, then the serum potassium is excreted and develops hypokalemia}what are the two acid-base disturbances associated with acute hepatic failure? {Ans: respiratory alkalosis and metabolic acidosis}what are the manifestations of hepatic encephalopathy? {Ans: changes in mental state, behavior, personality, decreased self-care ability, deterioration of handwriting, or loss of other small movements, and asterixis ("liver flaps")}what is common in patients with DIC? {Ans: jaundice due to increased bilirubin production secondary to hemolysis}what does a ventricular septal defect produce? {Ans: a systolic murmor}when would a mediastinal shift occur? {Ans: pneumothorax due to large pleural effusion}