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Original Question

This is the senario 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 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? I need a reply for the following one The interventions that I expect to be ordered for Mr. Sweet will be insulin to lower his blood sugar, as he already have a pmhx of DM I and it was probably not manage right which resulted him having a really high sugar levels. He is expected to be on monitor for his pulse and have an oxygen. Then IV fluid therapy is also expected as this will help restore the balance of fluid and electrolytes. Drug therapy is also expected as according to Ignatavicius & Workman, 2020, drug therapy can help restore potassium balance by increasing the amount of potassium excreted. For his temperature, he might be given acetaminophen to bring his fever down. I believe Mr. Sweet has metabolic acidosis that is partially compensated due to his increased acid production and the results of the ABG’s. Mr. Sweet’s medical diagnosis would be diabetic ketoacidosis due to high potassium, sugar levels, and ABG’s results.

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