A 25-year-old male patient presented to the emergency departmentat 0200h with vomiting and abdominal pain. He had a 1-week historyof polyuria and polydipsia, nausea and vomiting, accompanied by an8lb weight loss. His medical history was unremarkable, except forbeing a type 1 diabetic since he was 12 years old. He stated he hadnot been eating well and feared giving himself insulin would causehypoglycemia. This is his third admission for DKA in the pastyear.
Results of hospital laboratory studies revealed that thepatient’s initial blood glucose level was 43 mmol/L and clinicalpresentation and laboratory findings were consistent with adiagnosis of diabetic ketoacidosis (DKA). His arterial blood gasrevealed his pH was 7.25, PCO2 32, and HCO317.
The patient was treated successfully for DKA and discharged fromthe hospital 3 days later.
a) Based on his clinicalpresentation lab and ABG results what collaborative care andmanagement would you expect for this patient? (2 mark)
b) What other electrolyte(s) wouldyou expect to be or become unbalanced. What would be youranticipated treatment of this/these be? (1 marks)
c) What are nursing diagnoses forthis patient. Identify one for the acute stage of his illness andone for follow-up at discharge and list one appropriate nursingintervention for each similar to the table below (2 marks)
