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Discussion

case study

Hi

i need for help:)

so plzzzzzz help me;)

Mrs x is 55 years old female patient came to ER escorted by the EMT staff and wit history uncontrolled DM , initial assessment it revealed stuporus level of consciousness

decreased blood pressure, tachycardia , rapid respiratory rate (tachypnea)

en examination: she displayed flushed face, fruity odor comes out with her breath, VS: BP 90\63 P:129\MIN, RR32\MIN T37.8 the urin bag contained 2000cc within last 4 hours, her RBS was 600mg\dl

QUESTION:

Based on biochemical basis explain the pathophysiology of the presenting s&s describe the appropriate emergency nursing intervention??

byu;)

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    • Featured Replies

    • Author

    Hi

    i need for help:)

    so plzzzzzz help me;)

    Mrs x is 55 years old female patient came to ER escorted by the EMT staff and wit history uncontrolled DM , initial assessment it revealed stuporus level of consciousness

    decreased blood pressure, tachycardia , rapid respiratory rate (tachypnea)

    en examination: she displayed flushed face, fruity odor comes out with her breath, VS: BP 90\63 P:129\MIN, RR32\MIN T37.8 the urin bag contained 2000cc within last 4 hours, her RBS was 600mg\dl

    QUESTION:

    Based on biochemical basis explain the pathophysiology of the presenting s&s describe the appropriate emergency nursing intervention??

    byu;)

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    this case took about pt have a hyperglycemia so you can open the google and write hyperglycemia pathophosiology and intervention

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    • Author

    thank u so much bb

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    What do you conclude???

    What OTHER s/s present what nursing diagnoses?

    LOOK at the WHOLE picture...there's MORE...

    The pt has Hx of DM, not just hyperglycemia...the lab value; what else does it tell you along with the s/s???

    I would like to know what YOU see OP.

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    You have posted this already. Here is my response again along the same line:

    What do you conclude???

    What OTHER s/s present what nursing diagnoses?

    LOOK at the WHOLE picture...there's MORE...

    The pt has Hx of DM, ...the lab value; the assessment; what else does it tell you ??

    I would like to know what YOU see OP, then let's go from there. :yes:

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    We are glad to help you, but we will not do your homework for you (this is cheating).

    What have you come up with concerning this case study?

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    • Experts
    Hi

    i need for help

    so plzzzzzz help me

    Mrs x is 55 years old female patient came to ER escorted by the EMT staff and with history uncontrolled DM , initial assessment it revealed stuporus level of consciousness

    decreased blood pressure, tachycardia , rapid respiratory rate (tachypnea)

    en examination: she displayed flushed face, fruity odor comes out with her breath, VS: BP 90\63 P:129\MIN, RR32\MIN T37.8 the urine bag contained 2000cc within last 4 hours, her RBS was 600mg\dl

    QUESTION:

    Based on biochemical basis explain the pathophysiology of the presenting s&s describe the appropriate emergency nursing intervention??

    What condition is present when there is an extreme elevated glucose, increased/excessive urine output, hypotension , tachycardia, low grade temp, and altered LOC?

    Look up diabetic ketoacidosis.

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    • Author

    i said i need for help i didn't say solve this case O.K

    Good Night :(

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    • Experts
    i said i need for help i didn't say solve this case O.K

    Good Night :(

    By the rules of the site......
    This is the place for nursing students to consult the membership to share knowledge, ideas, and experience, and to explore ways to maximize success in nursing school. Feel free to seek assistance with difficult content, care plans, interviews, papers, study questions, dosage calculations, and other academic challenges you are facing. This is NOT the forum to ask someone to do your homework for you. When asking for assistance with an assignment, please show what you have done first.
    We are happy to help but we need to know what you have discovered by yourself....are you on the right track? What are you not understanding.....I gave you what you needed to answer the questions yourself
    What condition is present when there is an extreme elevated glucose, increased/excessive urine output, hypotension , tachycardia, low grade temp, and altered LOC?

    Look up diabetic ketoacidosis.

    Now tell me what you have found out by looking this up.

    I usually put links in but I have found many cannot be opened by the students in Palestine....so do an internet search for what I gave you.

    Tell me what your research has taught you and we will discuss it further from there.

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    Patient is experiencing fruity odor which is indicative of ketone bodies or Kussmaul's Respirations. Uncontrolled DM sounds like Diabetic Ketoacidosis. However, patient is also experiencing tachypnea which means a blowing off of CO2. Excess CO2 is acidic, however, this patient is experiencing fruity odor. Recommend you look at the PaCO2 and CHO3 to determine if there's evidence of metabolic syndrome. What's the patients BUN and Creatinine?

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    Again, we do not give students all the answers to their questions until we know what they have already done to find the answers themselves, and that doesn't count, "Write it in an email to AN." We need to know so we can help them learn how to learn. Just giving them the answers doesn't help with that.

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    • Experts
    Patient is experiencing fruity odor which is indicative of ketone bodies or Kussmaul's Respirations. Uncontrolled DM sounds like Diabetic Ketoacidosis. However, patient is also experiencing tachypnea which means a blowing off of CO2. Excess CO2 is acidic, however, this patient is experiencing fruity odor. Recommend you look at the PaCO2 and CHO3 to determine if there's evidence of metabolic syndrome. What's the patients BUN and Creatinine?

    Stephen has been very nice to you.....he has given you a ton of information to follow. Allnurses is a professional nursing community....our goal is to help students become the best nurse they can be....and that does not include giving answers. As per the Terms of Service...as I already said...

    This is NOT the forum to ask someone to do your homework for you. When asking for assistance with an assignment, please show what you have done first.
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