Mod 2 Discussion 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: Medical Interventions, Acid-Base Disturbances, and Diagnosis Medical Interventions, Acid-Base Disturbances, and Diagnosis What interventions do you 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? Please make an initial post by midweek and respond to at least two other students’ posts with substantial details demonstrating an understanding of the concepts and critical thinking. Remember that your posts must exhibit appropriate writing mechanics, including proper language, friendship, and proper grammar and punctuation

Medical Interventions, Acid-Base Disturbances, and Diagnosis

Question One: Interventions Mr. Sweet

The patient has high blood sugar. It is thus essential to correct his blood sugar levels. Accordingly, this will be achieved by administering insulin to lower blood sugar levels (Shirin et al., 2019). It is also critical to correct fluid loss. The correct fluid loss will help dilute glucose levels and circulating levels of hormones (Elzouki & Eledrisi, 2020). Intravenous fluid therapy will promote potassium movement into the cells from the extracellular fluids (Ignatavicius et al., 2017). 

Question Two: Type of Acid-Base Disturbance

The acid-base disturbance that the patient has is metabolic acidosis. This is a phenomenon where there is excess acid in the body fluids. The patient has high blood sugar levels, which result in the production of ketone bodies which are acidic. The ketone bodies will build up in the body. Metabolic acidosis is defined as an acid-base imbalance with a blood bicarbonate concentration of less than 20 associated with decreased pH levels (Jung et al., 2019).

Question Three: Mr. Sweet’s Medical Diagnosis

The likely diagnosis for this patient is diabetic ketoacidosis (DKA). DKA is an acute life-threatening condition related to diabetes. It is characterized by ketoacidosis, ketonuria, and hyperglycemia (Shahid et al., 2020). It happens when a relative or absolute glucose deficiency prevents glucose from being utilized by cells as a fuel. Consequently, this causes the liver to rapidly convert fats into ketones. The overproduction of ketones results in their accumulation in the urine and blood, causing acidity in the body (Shahid et al., 2020). DKA is prevalent in type I diabetes but can also happen in type 2 (Shahid et al., 2020). The patient has type I diabetes. He also presents with hyperglycemia and symptoms of ketoacidosis. Therefore, this makes DKA the likely diagnosis.

References

Elzouki, A., & Eledrisi, M. (2020). Management of diabetic ketoacidosis in adults: A narrative review. Saudi Journal of Medicine and Medical Sciences, 8(3), 165. https://doi.org/10.4103/sjmms.sjmms_478_19

Ignatavicius, D. D., Workman, M. L., & Rebar, C. (2017). Medical-surgical nursing: Patient-centered collaborative care, single volume. Saunders.