SOLVED322

CASE STUDY OBJECTIVES: After completion of these case studies, the participants will be able to complete the following: 1. Identify the clinical manifestations associated with Diabetes Ketoacidosis (DKA) and nursing management associated with DKA 2. Discuss the nursing process 3. Provide the rationale for nursing interventions related to the treatment of DKA. Patient Background: Sarah, a 25-year-old female, presents to the emergency department (ED) with complaints of extreme thirst, frequent urination, abdominal pain, and difficulty breathing. She has a known history of type 1 diabetes mellitus but admits to non-compliance with her insulin regimen for the past week due to financial constraints. Symptoms and Initial Assessment: • Extreme Thirst and Polyuria: Sarah reports drinking large amounts of water and urinating frequently over the past few days. • Abdominal Pain: She describes diffuse abdominal pain, which she rates as 7/10 on the pain scale. • Difficulty Breathing: Sarah complains of shortness of breath, particularly on exertion. • Physical Examination: • Tachycardia (heart rate: 120 bpm) • Hypotension (blood pressure: 90/60 mmHg) • Deep and labored breathing (Kussmaul respirations) • Fruity odor on breath (due to acetone) Diagnostic Tests: Blood Glucose Level: • Elevated (600 mg/dL) Arterial Blood Gas (ABG) Analysis: ⚫
SCIENCE
HEALTH SCIENCE
NURSING

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