Assignment
Jerry Thomas is a 26-year-old Type I Diabetic. He was originally diagnosed at the age of 14, and currently manages his disease with an intensive regimen of insulin injections. Jerry is employed as a schoolteacher and soccer coach. He presents today with a 2-day history of vomiting and diarrhea. He has been closely monitoring his blood glucoses, and is using regular insulin for high blood glucose levels. He has only been able to tolerate liquids such as Gatorade, but today he is unable to even tolerate that, and comes to the clinic for evaluation of possible Diabetic Ketoacidosis (DKA).
• Describe the pathophysiology of DKA and why it occurs in patients with Type I Diabetes Mellitus.
• Based upon the diagnosis of DKA, what assessment findings does the nurse correlate to this disorder?
• The physician orders a complete metabolic panel, and Jerry's blood glucose is 425. Other lab values include a serum sodium of 152, serum potassium of 3.0, and BUN of 64. What is your assessment of these results?
• Explain why it is important for Jerry to continue to take his insulin even though his oral intake is decreased.
• Formulate three nursing diagnoses based on actual problems for this client.
• Based on the nursing diagnoses you created, provide at least three interventions for each (do not include "assessment" statements-these must be interventions you will actually do).
Format your assignment according to the give formatting requirements:
• The answer must be using Times New Roman font (size 12), double spaced, and typed, with one-inch margins on all sides.
• The response also includes a cover page containing the student's name, the title of the assignment, the course title, and the date. The cover page is not included in the required page length.
• Also include a reference page. The references and Citations should follow APA format. The reference page is not included in the required page length.