Betty Cooper, 25-y/o-female, is admitted to the emergency department with decreasing level o consciousness. She is 98lbs and stands at 5ft. She has a history of diabetes mellitus since she wa 9 years of age. A physical assessment and laboratory data reveal the following: > Dry skin, poor turgor > RR = 40cpm, rapid and deep & labored > Serum Na = 130 mEq/L > HR = 118bpm, weak pulse > Temp = 98°F > BP = 110/70 mmHg > ABG: pH = 7.15; HCO3; 13mEq/L; pCO2 = 35 mEq/L 1. Calculate Betty's serum osmolality. 2. What type of diabetes mellitus does Betty possibly have? Why? 3. Which complication of diabetes mellitus does Xia possibly have, diabetic ketoacidosis a hyperglycemic hyperosmolar state? Why? > Serum glucose = 504mg/dl > Serum K = 5 mEq/L > Serum CI = 108 mEq/L > BUN = 74.68 mg/dL

Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
Section: Chapter Questions
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Study questions:
Betty Cooper, 25-y/o-female, is admitted to the emergency department with decreasing level of
consciousness. She is 98lbs and stands at 5ft. She has a history of diabetes mellitus since she was
9 years of age. A physical assessment and laboratory data reveal the following:
> Dry skin, poor turgor
> RR = 40cpm, rapid and deep & labored > Serum Na = 130 mEq/L
> HR = 118bpm, weak pulse
> Temp = 98°F
> BP = 110/70 mmHg
> ABG: pH = 7.15; HCO3; 13mEq/L; PCO2 = 35 mEq/L
1. Calculate Betty's serum osmolality.
> Serum glucose = 504mg/dl
> Serum K = 5 mEq/L
> Serum CI = 108 mEq/L
> BUN = 74.68 mg/dL
2. What type of diabetes mellitus does Betty possibly have? Why?
3. Which complication of diabetes mellitus does Xia possibly have, diabetic ketoacidosis or
hyperglycemic hyperosmolar state? Why?
4. What is the 1st priority nursing management and medical management? Why?
Transcribed Image Text:Study questions: Betty Cooper, 25-y/o-female, is admitted to the emergency department with decreasing level of consciousness. She is 98lbs and stands at 5ft. She has a history of diabetes mellitus since she was 9 years of age. A physical assessment and laboratory data reveal the following: > Dry skin, poor turgor > RR = 40cpm, rapid and deep & labored > Serum Na = 130 mEq/L > HR = 118bpm, weak pulse > Temp = 98°F > BP = 110/70 mmHg > ABG: pH = 7.15; HCO3; 13mEq/L; PCO2 = 35 mEq/L 1. Calculate Betty's serum osmolality. > Serum glucose = 504mg/dl > Serum K = 5 mEq/L > Serum CI = 108 mEq/L > BUN = 74.68 mg/dL 2. What type of diabetes mellitus does Betty possibly have? Why? 3. Which complication of diabetes mellitus does Xia possibly have, diabetic ketoacidosis or hyperglycemic hyperosmolar state? Why? 4. What is the 1st priority nursing management and medical management? Why?
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