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?
At least 150 words. Thank you.
Based on the information provided, it appears that Mr. Sweet is experiencing severe hyperglycemia (high blood sugar) and potentially diabetic ketoacidosis (DKA). The following interventions would likely be ordered:
- Insulin therapy: to lower Mr. Sweet’s high blood sugar and improve his overall glucose control.
- Fluids: to help correct dehydration Order a customized and more comprehensive answer here
- Electrolyte replacement: to address Mr. Sweet’s low potassium levels and other electrolyte abnormalities.
- Continuous monitoring: to closely track Mr. Sweet’s vital signs and Order a customized and more comprehensive answer here
In terms of acid-base disturbance, Mr. Sweet has a metabolic acidosis, as indicated by his low pH and high CO2 levels.
Given his history of Type 1 diabetes and current presentation with severe hyperglycemia, DKA is the most likely diagnosis. It is important to promptly treat DKA to prevent complications and Order a customized and more comprehensive answer here