NURSING CARE PLAN ON DIABETIC KETOACIDOSIS

Описание: 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

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