NURSING CARE PLAN ON DIABETIC KETOACIDOSIS скачать в хорошем качестве

NURSING CARE PLAN ON DIABETIC KETOACIDOSIS

NURSING CARE PLAN ON DIABETIC KETOACIDOSIS ‪@AbiggaboyRN‬ This care plan is based on the scenario below: Diabetic Ketoacidosis Mr. Daniel Owusu, a 26-year-old male university student, was brought to the Emergency Unit of Komfo Anokye Teaching Hospital on the 2nd of January, 2026, at 10:00 am by his uncle. According to the uncle, Daniel had been unwell for the past four days with excessive thirst, frequent urination, persistent vomiting, and progressive weakness. The patient also complained of severe abdominal pain, loss of appetite, and difficulty breathing. He reported unexplained weight loss over the past two weeks and admitted to missing his insulin injections for several days due to financial constraints. He further stated that he experienced blurred vision, dizziness, and a fruity-smelling breath, which was noticed by family members before admission. The doctor made a diagnosis of diabetic ketoacidosis. Bed number 2, and inpatient number 122746. On examination, Mr. Daniel appeared acutely ill, dehydrated, and restless. His mucous membranes were dry, his skin turgor was reduced, and he had deep, labored breathing consistent with Kussmaul respiration. He was conscious but lethargic and responded slowly to questions. Vital Signs on Admission Temperature: 37.9°C Pulse rate: 118 beats per minute Respiratory rate: 30 cycles per minute Blood pressure: 88/56 mmHg Oxygen saturation: 96% on room air Weight: 58 kg Based on the clinical presentation, the attending physician requested urgent laboratory investigations to confirm the suspected diagnosis. Laboratory Investigations Requested Random blood glucose Serum ketones Arterial blood gas analysis Serum electrolytes Blood urea and creatinine Urinalysis for glucose and ketones Medications and Treatment Given 5 units of insulin when RBS is more than 14 mmol/L Intravenous normal saline 1 litre over 24 hours Intravenous bicarbonate 4 mmol/L Paracetamol 1 g tds x 3 days Be free to state any other patient problems identified in the comment section. You can also reach out for any addition, subtraction, and clarification.