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/L1....


Study questions:<br>Betty Cooper, 25-y/o-female, is admitted to the emergency department with decreasing level of<br>consciousness. She is 98lbs and stands at 5ft. She has a history of diabetes mellitus since she was<br>9 years of age. A physical assessment and laboratory data reveal the following:<br>> Dry skin, poor turgor<br>> RR = 40cpm, rapid and deep & labored > Serum Na = 130 mEq/L<br>> HR = 118bpm, weak pulse<br>> Temp = 98°F<br>> BP = 110/70 mmHg<br>> ABG: pH = 7.15; HCO3; 13mEq/L; PCO2 = 35 mEq/L<br>1. Calculate Betty's serum osmolality.<br>> Serum glucose = 504mg/dl<br>> Serum K = 5 mEq/L<br>> Serum CI = 108 mEq/L<br>> BUN = 74.68 mg/dL<br>2. What type of diabetes mellitus does Betty possibly have? Why?<br>3. Which complication of diabetes mellitus does Xia possibly have, diabetic ketoacidosis or<br>hyperglycemic hyperosmolar state? Why?<br>4. What is the 1st priority nursing management and medical management? Why?<br>

Extracted 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?

Jun 06, 2022
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