What is the priority nursing intervention

Reference no: EM132387086

Assignment: Case Study

Diabetic Ketoacidosis

Patient Profile.

N.B., a 34 year-old Native American man, was admitted to the emergency department after he was found unconscious by his wife in their home.

Subjective Data: • Was diagnosed with type 1 diabetes mellitus 12 months ago

• Was taking 50 units of insulin daily; 5 units of lispro insulin with breakfast, 5 units with lunch and 10 units with supper plus 30 units of glargine insulin at bedtime

• Has a history of flu for 1 week with vomiting and anorexia

• Stopped taking insulin 2 days ago when he was unable to eat

Objective Data

Physical Examination

• Breathing is deep and rapid

• Acetone smell on breath

• Skin flushed and dry

Diagnostic Studies

• Blood glucose level of 730 mg/dL (40.5 mmol/L)

• Blood pH of 7.26

Discussion Questions

1. Briefly explain the pathophysiology of the development of diabetic ketoacidosis (DKA) in this patient

2. What clinical manifestations of DKA does this patient exhibit?

3. What factors precipitated this patient's DKA?

4. Priority Decision: What is the priority nursing intervention for N.B.?

5. What distinguishes this case history from one of hyperosmolar hyperglycemic syndrome (HHS) or hypoglycemia?

6. Priority Decision: What is the priority teaching that should be done with this patient and his family?

7. What role should N.B.'s wife have in the management of his diabetes?

8. Priority Decision: Based on the assessment data presented, what are the priority nursing diagnoses? Are there any collaborative problems?

Reference no: EM132387086

Questions Cloud

ITECH1100 Garment Scene Assignment Problem : ITECH1100 Understanding the Digital Revolution Assignment - Garment Scene Assessment Help and Solution, Federation University, Australia

Organization face with regards to the protection : Discuss the issues organization's face with regards to the protection of its customer information.

Quality metrics to express measurable QoS characteristics : SLAs use service quality metrics to express measurable QoS characteristics. security measures such as anti-virus updates and patching

Determine the success of your cqi project : Minimum of 250 words with peer review reference. Measurement is required to determine the success of your CQI project. What is the difference between outcome.

What is the priority nursing intervention : Briefly explain the pathophysiology of the development of diabetic ketoacidosis (DKA) in this patient. What clinical manifestations of DKA does this patient.

Why institutions are reluctant to move their IT to cloud : why institutions are reluctant to move their IT to the cloud. Consider specific industries like education, medicine, military, etc.

Implementing cybersecurity in the energy sector : Discussion that connects your entire analysis with the topic and future implications of cybersecurity in the energy sector

Examined the security principle of response : you examined the security principle of Response. Incidence response includes all security-related activities that are initiated as a result of an attack

What are the key differences between a manager and a leader : What are the key differences between a manager and a leader? Based on the results of your completed leadership skills assessment, what are your current strength

User Account

All Pages