Scenario Doug is a 47-year-old man brought into the emergency…

Question Answered Scenario Doug is a 47-year-old man brought into the emergency… ScenarioDoug is a 47-year-old man brought into the emergency department two days ago having been found at home groggy and confused by his wife.  He presented with abdominal pain, dehydration, deep and rapid breathing and has a fruity acetone smell and flushed and dry skin.Doug has a PMHx of Type 1 Diabetes and hypercholesterolaemia.  Over the past week, Doug has had gastroenteritis with vomiting and loss of appetite.  Doug stopped taking his insulin 2 days previously because he was not eating.He had a series of tests, with the results being:Blood test: pH 7.16, bicarbonate 11, glucose 36.5mmol/L.Urine test: low pH, high protein, high glucose and high ketone levels. Doug’s regular medications are:Regular (Humulin R) insulin, 5 units at breakfast, 5 units at lunch and 10 units for dinnerNPH (Humulin R) insulin, 30 units at bedtimeDoctors’ order an IVT Normal Saline 4/24, IV potassium replacement, variable IV Insulin to maintain BGL at 9-14mmol/L and Bd U&Es.Nursing management: 1/24 BGLs, FBC and daily urinalysis.Question-  What factors precipitated Doug’s Diabetic Ketoacidosis (DKA)? Health Science Science Nursing NURSING HN5 Share QuestionEmailCopy link Comments (0)