SOLVED618

0900: Client came to the ED this morning and reports not feeling well for the last 12 hr and increasing blood glucose. Client has a history of type 1 diabetes mellitus and hypertension. Client weight is 88 kg (194 |b). The client was recently treated for bronchitis and pneumonia. Client reports nausea and decreased appetite. Client is alert and orientated x 4, heart and lung sounds are clear. Client states that they have been frequently urinating and are extremely thirsty. Bowel sounds are hyperactive in all 4 quadrants. Bilateral pedal pulses 1+. Slight tenting of skin. Peripheral IV established and labs drawn. Vital Signs 0900: Temperature 36.8° C (98.2° F) Pulse rate 110/min Respiratory rate 18/min Blood pressure 96/65 mm Hg Oxygen saturation 96% on room air Laboratory Results 0915: Blood glucose 468 mg/dL (74 to 106 mg/dL) pH 7.30 (7.35 to 7.45) Potassium 5.5 mEq/L (3.5 to 5 mEq/L) Sodium 138 mEq/L (136 to 145 mEq/L) Chloride 101 mEq/L (98 to 106 mEq/L) BUN 21 mg/dL (10 to 20 mg/dL) Creatinine 1.7 mg/dL (0.5 to 1.1 mg/dL) Urine dipstick positive for ketones (negative) Provider Prescriptions 0930: Administer 0.9% sodium chloride at 15 ml/kg/hr for 1 hr and then reduce
SCIENCE
HEALTH SCIENCE
NURSING

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