Case Study Sweet Assignment Help: How to Answer This Question

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Original Question

Case study: Mr. Sweet, 38 years old, is brought to the Emergency Department nonresponsive. PMHX: DM I (Diabetes Type 1) and he has been sick for the last 3 days Objective information: Blood sugar: 532 Potassium: 7.2 ABGs: pH 7.08, HCO3 12, and CO2 28 VS (vital signs): HR 116, BP 107/64, RR 36 (deep and rapid rate), Temp 101.5 F Answer the following questions: What nursing interventions do expect to be ordered for Mr. Sweet? (Be sure to include specific medications you would expect ordered for this patient as medications are part of nursing interventions). What is the rationale for these interventions & medications? What type of acid-base disturbance does this patient have? Is it compensated, partially compensated, or not compensated? What is Mr. Sweet’s primary Medical Diagnosis Student response Nursing interventions for Mr. Sweet, who is nonresponsive in the ER, has a medical history of Type 1 Diabetes, abnormal lab values, and very high blood glucose. The nurse is to begin treatment for diabetic ketoacidosis causing metabolic acidosis. My priority is to rehydrate the patient, correct his elevated blood glucose, and begin treatment to correct his high potassium level to avoid cardiac arrest. Mr. Sweets is displaying manifestations of diabetic ketoacidosis resulting in metabolic acidosis. His manifestations include he is unresponsive, hypotension, and Kussmaul respirations, and also due to his objective findings and lab values. Due to having a low pH level and decreased HCO3, Mr. Sweet’s acid-base disturbance is partially compensated. My nursing interventions would be to begin rehydration through IV fluids (0.9% normal saline), IV regular insulin, K+ (due to hyperkalemia), and bicarbonate to control the problem causing the metabolic acidosis (Ignatavicius et al., 2021). The patient has a high blood glucose of 532, resulting in diabetic ketoacidosis; Mr. Sweet must be provided with insulin to correct the hyperglycemia, stop the body from producing ketones, and add potassium will help correct the hyperkalemia present (Ignatavicius et al., 2021). Due to his pH level being less than 7.2 and his bicarbonate level being low, I would begin bicarbonate as well due to dehydration and possible compromised kidneys. The nursing priorities for Mr. Sweet during his care are to continuously monitor his vitals and cardiac status, as well as his ABGs that he is responding to treatment or if acidosis may worsen. My question Please make an initial post 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. At least 1 reference and citation is required for each response post.

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