NR 507 Week-5 Case Study Discussion -Mrs Blake

NR 507 Week-5 Case Study Discussion -Mrs Blake

NR 507 Week-5 Case Study Discussion -Mrs Blake

NR 507 Advanced Pathophysiology

Remember 3 responses on 3 different days

Ms. Blake is an older adult with diabetes and has been too ill to get out of bed for 2 days. She has had a severe cough and has been unable to eat or drink during this time. She has a history of Type I diabetes. On admission her laboratory values show:

Sodium (Na+)

156 mEq/L H

Potassium (K+)

4.0 mEq/L N

Chloride (Cl–)

115 mEq/L H

Arterial blood gases (ABGs)

pH- 7.30; Pco2-40; Po2-70; HCO3-20

Metabolic Acidosis with respiratory compensation, High anion gap

Normal values

Sodium (Na+)

136-146 mEq/L

Potassium (K+)

3.5-5.1 mEq/L

Chloride (Cl–)

98-106 mEq/L

Arterial blood gases (ABGs)

pH- 7.35-7.45

Pco2- 35-45 mmHg

Po2-80-100 mmHg

HCO3–22-28 mEq/L

What is the etiology of Diabetic Ketoacidosis?
Describe the pathophysiological process of Diabetic Ketoacidosis?
Identify the hallmark symptoms of Diabetic Ketoacidosis?
Identify any abnormal lab results provided in the case and explain why these would be abnormal given the patient’s condition.
What teaching would you provide this patient to avoid heart failure symptoms?
What teaching would you provide this patient to avoid diabetic ketoacidosis?

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10. Past tense verbs are used when presenting information from published resources.