Place an order for your academic papers, assignments and study assistance. Our reliable paper writing service and research assignment help online ensures timely delivery of high-quality essays, answers, analysis and presentations, tailored to your specific course needs and requirements.
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.
Place an order in 3 easy steps. Takes less than 5 mins.
Each Student Wants High Quality and That’s Our Focus
An online hub of writing bishops' experts. We select the best qualified writers to join our team. These writers are recruited based on their college graduation grades, exceptional writing skills and ability to convey complex ideas in a clear manner. They each have expertise in specific topic fields and background in academic writing. This expertise enables them to provide well-researched and informative content that meets the highest standards.
In appreciation of the fact that our clients are majorly college and university students, we offer the lowest possible pricing while still providing the best writers. This approach ensures that our clients receive high-quality content and best coursework grades without breaking the bank. Our costs are fair and reasonable compared to other custom writing services in the market. As a result of maintaining the balance between affordability and quality, we have established ourselves as a reliable choice in the industry.
You will never receive a final paper that contains any plagiarism or AI use similarity index. Our team of professional writers and editors is dedicated to ensuring the originality of all content. We scan every final draft before releasing it to be delivered to a customer for submission in safeassign and turnitin. This rigorous process guarantees that the work meets the highest standards of academic integrity.