Biochemistry case

Nursing Students Student Assist

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Specializes in BLS ,ALS ,NCP ,and maternal&child care.

Mrs x is 55 year old female patient came to ER escorted by the EMT staff and with history uncontrolled DM, initial assessment revealed stuporous level of consciousness, decreased blood pressure, tachycardia , rapid respiratory rate (tachypnea) .

on examination : she displayed flushed face , fruity odor comes out with her breath , vs:BP 90/63 P:129 , RR 32 , T 37.8 , the urine bag contained 2000 cc within last 4 hours , her RBS was 600 mg/dl .

Question :

based on biochemical basis explain the pathophysiology of the presenting S&S

describe the appropriate emergency nursing intervention ?

...........

this is the case that I should solve as assignment

How I can diagnose the disease or problem to solve the question .

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Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.

What year of school are you? We are happy to help......how do you think this patient should be handled?

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Specializes in BLS ,ALS ,NCP ,and maternal&child care.

thank u for reply for me .

I'm in the second year ... but I has a weakness in diagnosis .

I think I should diagnose the disease then describe the psychopathology and management .

what do you think.

please reply as soon as possible ..

Thank you

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Specializes in Emergency.

What do you think causes fruity breath, that is paired with uncontrolled DM?

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Specializes in BLS ,ALS ,NCP ,and maternal&child care.
What do you think causes fruity breath, that is paired with uncontrolled DM?

oh, yes the DM cause the fruity breath , and also the flushed face and alter in LOC.

but, what the next ? what about biochemical basis ?

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Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.

What happens to diabetics if an elevated blood sugar goes untreated and they become acidotic? Think!

The patient is Diabetic....... their glucose is very high.....their breath is fruity because of Ketones.....and they are probably Acidotic....so their condition is......what?

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Specializes in BLS ,ALS ,NCP ,and maternal&child care.

oh.. yes the pt. has ketoacidosis and the appropriate interventions are Fluid replacement,Electrolyte replacement,and Insulin therapy.

Thanks for all users helping me ..

***---- THANKS ---***

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Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.

You came up with the answer we just help you find where to look....You are welcome!

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