Question

2. Jerry Thomas is a 26-year-old type 1 diabetic. He was originally diagnosed at the age of 14, and currently manages his disease with an intensive regimen of insulin injections. Jerry is employed as a schoolteacher and soccer coach. He presents today with a 2-day history of vomiting and diarrhea. He has been closely monitoring his blood glucoses, and is using regular insulin for high blood glucose levels. He has only been able to tolerate liquids such as Gatorade, but today he is unable to even tolerate that, and comes to the clinic for evaluation of possible diabetic ketoacidosis (DKA). (Learning Objective 9) a. Describe the pathophysiology of DKA and why it occurs in patients with type 1 diabetes. b. Based on the diagnosis of DKA, what assessment findings does the nurse correlate to this disorder? C. The physician orders a complete metabolic panel, and Jerry's blood glucose is 425. Other lab values include a serum sodium of 152, serum potassium of 3.0, and BUN of 64. What is your assessment of these results? d. Explain why it is important for Jerry to continue to take his insulin even though his oral intake is decreased.

Answer 1

A).Above picture is the pathophysiology of diabetes ketoacidosis.dka is a complication of type 1 diabetes with hyperglycemia,hyperketonemia and metabolic acidosis.

B).the nurse should examine the plasma glucose level of dka patient.with this blood urea nitrogen level also has to be assessed for jerry.

C).jerry's blood glucose level is higher than normal and sodium level is also higher.so for hypernatremia treatment should be taken.strict glocose monitoring should be done.

D).jerry is a chronic diabetic type 1 patient.so taking insulin everyday is very important for him.one missing insulin shot can lead to shock .diet management is also very important for jerry.diabetic diet should be taken ordered by dietician properly.