Case Study Ms. Keller is a 29-year-old computational engineer…
Question Answered step-by-step Case Study Ms. Keller is a 29-year-old computational engineer… Case Study •Ms. Keller is a 29-year-old computational engineer presenting to ED at 0900hrs. She woke up feeling unwell this morning. Had diarrhea x7 episodes, vomiting x2, constantly nauseated, lower abdominal crampy pain. Fevers for last 5 days. Had a laparoscopic procedure for endometriosis 7 days ago.•Had 2 cans of Bourbon yesterday. Denies any dysuria, urinary frequency, cough. Appears unwell. Pleasantly confused, thinks she is 42 years old.•Poor historian ? Due to confusion.•Past Medical History: Type I DM, Previous ICU admissions for DKA, Endometriosis Fully vaccinated against COVID Assessment:Airway. – PatentBreathing. – Spontaneous, RR-19/mt, SPO2-95% RA, air-entry equalCirculation- Appears flushed, tepid peripheries, BP-86/62 mmHg, HR- 46/mt, sinus bradycardia, dry mucous membranesDisability – GCS-14 E4V4M6, not oriented to time, place or person, PEARL- 2mm.Exposure – Temperature 39.8 deg Celsius. Abdomen soft and tender lower abdomen+++ on palpation, bowel sounds present. X2 IVC in situ. Laparoscopic site erythematous.Fluids – Unable to tolerate oral fluids, NBM for nowGlucose – BGL-Hi, Ketones- 3 Investigations:•ABG: pH- 7.36, HCO3- 39, BE-(-4.8), Lactate- 3.2•Urine analysis: Negative for nitrites and leukocytes, urine appears very concentrated, Beta HCG -negative•Bloods- WCC- 17.4, CRP- 15•Additional information: Currently Actrapid +5% dectrose 80mL/hr running with KCL @70mL/hr•Diagnosis: Moderate DKA with a septic foci ? Post-op infection•A MET call was activated at 1230hrs. Question:Discuss TWO diagnostic results and relate it to the underlying pathophysiology. Health Science Science Nursing NURSING 1101 Share QuestionEmailCopy link Comments (0)
