What interventions do expect to be ordered for Mr. Sweet? Why?

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:

1. What interventions do expect to be ordered for Mr. Sweet? Why?
2. What type of acid-base disturbance does he have?
3. What do you think is Mr. Sweet’s Medical Diagnosis?

Answer

Based on the information provided, it is likely that Mr. Sweet will receive interventions to lower his blood sugar and correct his electrolyte imbalances, such as insulin and potassium replacement. He may also receive fluids and medications to improve his respiratory and cardiovascular function.

Mr. Sweet appears to have a metabolic acidosis, as indicated by his low pH and low bicarbonate level. This is likely due to his uncontrolled diabetes and high blood sugar.

It is difficult to make a medical diagnosis based on the limited information provided. However, Mr. Sweet’s symptoms and laboratory values suggest that he may be experiencing diabetic ketoacidosis, which is a serious complication of diabetes that occurs when the body is unable to use glucose as a fuel source and begins to break down fats for energy instead. This can lead to the production of ketones, which can cause acidosis. Other possible diagnoses could include sepsis or pneumonia.