Question: 1 1 2 1 – 75% + I CASE STUDY: Diabetic Ketoacidosis (DKA) Patient Profile E.B. Is A 27-year-old Type 1 Diabetic Who Was Found Unconscious, Lying On His Bedroom Floor His Roommate States That He Has Been Generally Unwell Recently With A Gastrointestinal Upset. He Also States That E.B. Had Not Always Been Taking His Prescribed Insulin And Takes It Maybe …

1 1 2 1 – 75% + I CASE STUDY: Diabetic ketoacidosis (DKA) Patient Profile E.B. is a 27-year-old Type 1 Diabetic who was found unconscious, lying on his bedroom floor His roommate states that he has been generally unwell recently with a gastrointestinal upset. He also states that E.B. had not always been taking his prescribed insulin and takes it maybe 3 times a week”. He had been to quite a few parties in the last 2 weeks and had been drinking quite heavily at these events. Subjective. Data He is drowsy but rousable. He is tachypneic and there is a distinctive “fruity smell from his breath. Objective Data • Glasgow Coma Scale (GCS) score: (decrease from 10) • Height/Weight: 5’9” 578 • Vital signs Temp 38.4°C, HR 118 bpm, RR 40, BP 90/45. SpO2 89% on 2L via NC • ABGs: PaO2 89 mm Hg. Paco 29.5 mm He, HCO3 10.0 mEq/L, pH 7.15 • Other laboratory tests Na. 132 mg/l K-5.5mEq/L O 0.90 mo/ CO2-22 mto/ OBUN 29 mg/dL Creat-2.4 mg/l Ca-8.6 mg/l Glucose 468 mg/dk ME-11 med WIC-8410/ Heb – 12.5 s/de Het – 3245 Pit-245 W .teft antecubital space 20 gauge I started by paramedics prior to arrival • 09 Nainfusing with 800 ml remaining Glucose-451 reported by paramedics Discussion Questions Using a separate sheet of paper, answer the following questions: 1. What is the probable cause of E.B.’s change in neurologic status? 2. What were the contributing factors that put EB. at risk for complications of diabetes? 3. Which signs or symptoms make the nurse suspect that E.B. has diabetic ketoacidosis DKA? 4. Explain the pathophysiology of DKA 5. What is the nurse’s role in this critical situation? 6. Priority Decision: What is the first priority in EB.’s care? 7. What drugs and fluids would be indicated for E.B.’s treatment and the purpose and side effects of each? 8. Priority Decision: On the basis of the nursing assessment, what are the priority interventions? 9. Priority Decision: Based on the assessment data presented, what are the priority nursing diagnoses? Are there any collaborative problems? G