1.The laboratory findings suggest this patient is an undiagnosed diabetic. Identify the complication this patient is currently in and provide two (2) rationales for your response Q2.Identify and provide rationale two (2) interventions to manage the condition identified above
Brian, 61 years, was brought to the hospital on a Saturday afternoon by family members. He presents with altered consciousness, severe lethargy, weight loss (22 kg over the past three weeks), polyuria and a sore mouth. In a quest to lose weight Brian took dietary advice from a friend and has persisted with a ‘fruit only’ diet, eating only grapes over a period of 72 hours.
On examination Brian appears severely dehydrated with oral thrush, and his Glasgow Coma Scale score was 14 (eyes open to voice). His Blood Pressure is 112/93 mmHg, Heart Rate 120 bpm, Temperature 37.8°C and Respiratory Rate 28 bpm.
A chest X-ray shows a right-sided pneumonia.
Blood results:
|
Brain’s laboratory findings |
Normal range |
|
|
Sodium (Na+) |
148 mmol/L |
135- 145 mmol/L |
|
Potassium (K+) |
5.1 mmol/L |
3.5- 5.2 mmol/L |
|
Haemoglobin (Hb) |
171g/L |
130- 180 g/L |
|
|
0.5 mmol/L |
<0.6 mmol/L |
|
Glycated Haemoglobin (HbA1c) |
14.3% |
4- 5.6% |
|
Glucose |
48.2 mmol/L |
4- 8 mmol/L |
|
Troponin |
Negative |
0- 0.4ng/ml |
Q1.The laboratory findings suggest this patient is an undiagnosed diabetic. Identify the complication this patient is currently in and provide two (2) rationales for your response
Q2.Identify and provide rationale two (2) interventions to manage the condition identified above
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