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.
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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
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