Reference no: EM133510434
Case Study 2 Diabetic Ketoacidosis (DKA)
Presentation
Sam is a 14-year-old admitted to your ward with symptoms of diabetic ketoacidosis (DKA), blood ketone level of 5.7mmol/L and blood glucose of 18.2mmol/L. His symptoms on admission to ED included drinking fluids excessively, increased urination, decreased weight (approx. 5 Kg in 3 months), and increased irritability.
Past medical history
Sam was diagnosed with type 1 diabetes 6 months ago at the age of 13 years. He presented to ED 3 months ago with symptoms of DKA that were treated with insulin only. During that admission, Sam's mother stated that she felt Sam would benefit from learning to cope with his diabetes on his own and had declined additional structured education, feeling that they were managing themselves.
Social history
Sam lives with his mother, a single parent, and his 10-year-old sister. His mother works night shifts for an industrial cleaning service, leaving Sam with the responsibility of getting his sister to bed at night.
Assessment Data
Neurologic: alert, orientated to person, place and time Cardiovascular: HR 108, BP 110/70 and regular, pulses strong
Respiratory: RR 24, SpO2 98%, breath sounds clear on auscultation, breath smells fruity
Gi/Gu: urine dipstick positive for ketones
Skin: skin turgor 3 sec, dry mucous membranes
Diagnosis: DKA
Management plan: IV therapy 0.9% sodium chloride with 40 mmol/L potassium chloride, hourly vital sign, iv insulin.
1. Analyze pathophysiology and physiological charges across the lifespan in relation to nursing practice.
2. Integrate evidence based practice with nursing knowledge? Need answers base on the case study.