2025 This a Case scenario based assignment A woman aged 68 came into the

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PROF HEALTHSCIENCES 2025

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 Sepsis Vitals: temp – 37.7 bp- 104/59 pr- 124 rr- 16 spo2- 96 Hs1s2 lungs clear abd soft tongue dry treatment Arterial Blood Gas X-ray Cardiac Enzymes Glucose/Ketone Iv fluids: Normal Saline 0.9% 500mls infused over 1hour Insulin Actrapid Infusion IV Augmentin 1.2g dextrose 5% normal saline 0.9% infusion 500mls over 4hrs findings BGM 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* treatment glucose 7.8 ketone 2.6 ph 7.32 Primary Diagnosis: Diabetic ketoacidosis Essay 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 style 2000 words essay Due 19 April 2017

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