Fill the details/instructions form and checkout for your essay - pro writers; top college graduates only in less than 5 mins, NO AI—Plagiarism-free!.
Posted: February 11th, 2023
Mr. Sweet, 38 years old, is brought to the Emergency Department unresponsive. He has a history of Type 1 diabetes and has been sick for the last 3 days. On admission his Blood sugar is 532, Potassium is 7.2 and ABG results include pH 7.08, Bicarb 12, and CO2 28. His VS are HR 116, BP 107/64, RR 36 Deep and rapid, and Temp 101.5. Answer the following questions:
What interventions do expect to be ordered for Mr. Sweet? Why?
What type of acid-base disturbance does he have?
What do you think is Mr. Sweet’s Medical Diagnosis?
===
Interventions:
Insulin administration: Since Mr. Sweet has a history of Type 1 diabetes and has a high blood sugar level of 532, insulin administration is expected to be ordered to lower his blood sugar levels and prevent the development of diabetic ketoacidosis (DKA).
IV fluid resuscitation: His low blood pressure (BP 107/64) and elevated heart rate (HR 116) suggest that he may be dehydrated, so IV fluid resuscitation is likely to be ordered to correct fluid volume deficits.
Electrolyte replacement therapy: The low potassium level of 7.2 may be due to insulin-induced shift of potassium into cells and can lead to life-threatening cardiac dysrhythmias. Hence, electrolyte replacement therapy with potassium supplementation is expected to be ordered.
Monitoring: Vital signs monitoring, including continuous monitoring of blood glucose levels and electrolyte levels, is also expected to be ordered.
Acid-base disturbance: Mr. Sweet’s ABG results indicate a metabolic acidosis with a low pH of 7.08 and a low bicarbonate level of 12. The metabolic acidosis is likely due to elevated levels of ketones in the blood (a hallmark of DKA), which causes a shift in the balance of acid-base in the body. The elevated levels of ketones lead to an increase in the concentration of hydrogen ions in the blood, which results in a lower pH. The low bicarbonate level of 12 is a compensatory response to the metabolic acidosis, which helps to maintain the pH within a normal range. In a metabolic acidosis, the body tries to restore the acid-base balance by retaining bicarbonate or producing more bicarbonate, but in this case, it appears that the compensatory response is not enough to bring the pH back to a normal range.
Every student wants the best grades and that’s our Focus
Our team consists of outstanding writers who have specialized knowledge in specific subject areas and professionals experienced in academic research writing. They hold at least a graduate degree—230 with Masters and MSN qualifications, experts carefully selected and trained to ensure the best quality of our work. .
We’re dedicated to bringing on board top-notch writers who can provide excellent work at prices that make sense for college students; affordable papers. Our goal? To give you the best bang for your buck without ever compromising on the quality of our essay writing services—or the content of your paper. #Don’t forget to use the DISCOUNT code in the COUPONS section of the order form before you pay!.
The service guarantees that our final work is 100% original, rearched and human written expertly. We are committed to delivering plagiarism-free and AI-free work to each university/college student's 'write my paper' request. To uphold this promise, we check every draft for any possible instances of duplication, wrong citation, grammar errors and artificiality before we send it to you. Thus, you can always rely on us to write genuine and high-standard content for your essay assignments.
When you trust to place an order with Homework Ace Tutors, here is what happens: