The Pain

Interesting article I found about Vitamin K and the new born. http://www.whale.to/a/dark_side.html

The black clock under the red one ....

Very nice design. Good job, man.

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 ---***

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 ?

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

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 .