Remember 3 responses on 3 different days
Ms. Blake is an older adult with diabetes and has been too ill
to get out of bed for 2 days. She has had a severe cough and has been unable to
eat or drink during this time. She has a history of Type I diabetes. On
admission her laboratory values show:
Sodium (Na+) |
156 mEq/L H |
Potassium
(K+) |
4.0 mEq/L N |
Chloride
(Cl–) |
115 mEq/L H |
Arterial
blood gases (ABGs) |
pH- 7.30;
Pco2-40; Po2-70; HCO3-20 Metabolic
Acidosis with respiratory compensation, High anion gap |
|
|
Normal values |
|
Sodium (Na+) |
136-146 mEq/L |
Potassium
(K+) |
3.5-5.1 mEq/L |
Chloride
(Cl–) |
98-106 mEq/L |
Arterial
blood gases (ABGs) |
pH- 7.35-7.45 Pco2- 35-45
mmHg Po2-80-100
mmHg HCO3–22-28
mEq/L |
- What is the etiology of Diabetic Ketoacidosis?
- Describe the pathophysiological process of Diabetic Ketoacidosis?
- Identify the hallmark symptoms of Diabetic Ketoacidosis?
- Identify any abnormal lab results provided in the case and explain why these would be abnormal given the patient's condition.
- What teaching would you provide this patient to avoid heart failure symptoms?
- What teaching would you provide this patient to avoid diabetic ketoacidosis?
Instituition / Term | |
Term | April/March 2018 |
Institution | Chamberlain |