Question

Mr. Sweet, 38 years old, is brought to the Emergency Department unresponsive. He has a history of Type 1 diabetes and has been sick for the last 3 days. On admission his Blood sugar is 532, Potassium is 7.2 and ABG results include pH 7.08, Bicarb 12, and CO2 28. His VS are HR 116, BP 107/64, RR 36 Deep and rapid, and Temp 101.5. Answer the following questions:

What interventions do expect to be ordered for Mr. Sweet? Why?

What type of acid-base disturbance does he have?

What do you think is Mr. Sweet's Medical Diagnosis?

Please make an initial post by midweek, and respond to at least two other student's posts with substantial details that demonstrate an understanding of the concepts, and critical thinking. Remember that your posts must exhibit appropriate writing mechanics including using proper language, cordiality, and proper grammar and punctuation. If you refer to any outside sources or reference materials be sure to provide proper attribution and/or citation.

Answer 1

Question 1:

Intervention:

1. Adequate hydration

2. Regular insulin with normal sale given through intravenous.

3. Continous blood sugar monitoring.

Why?

1. In this case scenario patient is having random blood sugar 532, patient may have ketone bodies in blood and patient will have dehydration due to polyuria and hyper thermia. So patient need adequate hydration.

2. Blood sugar around 532 is considered very high, so patient may need to receive regular insulin through intravenous route for speedy recovery.

Question 2:

Acid base balance:

Metabolic acidosis

Rational:

PH: 7.08 indicates acidosis

Bicorb: 12 indicates metabolism acidosis

Poco2: 28: supports metabolism acidosis

Question3

Diagnosis: Diabetic keto Acidosis

Reference:

Brunner Sudharths," Textbook of medical surgical nursing" 10the edition, Wolfers klunner publications, page 209- 389.