This a Case scenario based assignment.A woman aged 68, came into the Emergency for Drowsy and Low Blood pressure. She had fever and cough for 2\/7, Went to GP and noted high glucose level. Past medical history of DM, HTN, High anion gap metabolic acidosis and previous admission of DKA secondary to SepsisVitals:temp – 37.7bp- 104\/59pr- 124rr- 16spo2- 96Hs1s2lungs clearabd softtongue drytreatmentArterial Blood GasX-rayCardiac EnzymesGlucose\/KetoneIv fluids: Normal Saline 0.9% 500mls infused over 1hourInsulin Actrapid InfusionIV Augmentin 1.2gdextrose 5% normal saline 0.9% infusion 500mls over 4hrsfindingsBGM 15mmol\/l (high)ketone 5.1 (high)ph 7.224 (low)pco2 25.8 (high)base excess -15.5 (super low)bicarbonate 12.6 (low)urine glucose 4+urine ketone 3+urine blood 2+ecg – sinus tachycardia*after* treatmentglucose 7.8ketone 2.6ph 7.32Primary Diagnosis: Diabetic ketoacidosisEssay must include the Pathophysiology of the Diagnosis.Explanation for the treatment, blood results and progress (how it correlate)Treatments must be supported with Evidence Based Literatures.References 6-8 intext citation APA style2000 words essayDue 19 April 2017<\/p>\n","protected":false},"excerpt":{"rendered":"
This a Case scenario based assignment.A woman aged 68, came into the Emergency for Drowsy and Low Blood pressure. She had fever and cough for 2\/7, Went to GP and noted high glucose level. Past medical history of DM, HTN, Read More …<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[],"tags":[],"class_list":["post-52328","post","type-post","status-publish","format-standard","hentry"],"_links":{"self":[{"href":"https:\/\/www.benedictsol.com\/blogs\/wp-json\/wp\/v2\/posts\/52328","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.benedictsol.com\/blogs\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.benedictsol.com\/blogs\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.benedictsol.com\/blogs\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.benedictsol.com\/blogs\/wp-json\/wp\/v2\/comments?post=52328"}],"version-history":[{"count":0,"href":"https:\/\/www.benedictsol.com\/blogs\/wp-json\/wp\/v2\/posts\/52328\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.benedictsol.com\/blogs\/wp-json\/wp\/v2\/media?parent=52328"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.benedictsol.com\/blogs\/wp-json\/wp\/v2\/categories?post=52328"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.benedictsol.com\/blogs\/wp-json\/wp\/v2\/tags?post=52328"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}