Reference no: EM133848006
Question
43 year-old gentleman with a long history of type 2 diabetes (> 6 years), dyslipidemia and hypertension presented to the emergency department with a 6-day history of weakness, fever, nausea, vomiting and a painful left foot with foul smelling pus discharge from ulcer on the sole. He was on gliclazide and metformin since diagnosis. Mixtard 30 units BD was started 1 year ago because of poor glycemic control. Stopped injecting insulin for 1 week ago - poor appetite .
Temperature 38.9oC , BP 96/60 mmHg, Pulse 136 beats/minute, low volume Respiration 36 breaths/minute, BG 28 mmol.
Laboratory result :
Urinalysis: glucose 4+ , ketone 3+
Venous Blood gas : pH of 7.06,
pCO2: 17 mmHg,
bicarbonate 5.6 mmol/L
This case DKA
1. What is a Problem Identification and prioritization
2. List down five nursing problems that you have identified based on the assessment findings. Classify the statement of all health problems into current Health problems and potential Health Problem.
3. Write for the 5 NCP complete nursing care plan about this case.