Assignment Task
Aim of assessment
The aim of this assessment is to enable students to:
1. Demonstrate knowledge by analysing the information provided in the case study.
2. Apply the clinical information provided in the case study and describe this clinical information within a pathophysiological and patient focused framework.
3. Discuss nursing strategies and evidence-based rationales to manage a patient with diabetic ketoacidosis.
4. Discuss the pharmacological interventions related to the management of a patient with diabetic ketoacidosis.
Details
You are to answer all questions related to the case study provided. Your answers must be directly related to the clinical manifestations that your patient presents with. You must submit your work with a minimum of six references from the past five years with at least two references from the resources provided in the vUWS site including peer-reviewed journal articles, textbook material or other appropriate evidence-based resources.
Case study
Mrs Sandra Mirza is a 24-year-old lady presenting to the emergency department at 1900hrs with nausea, vomiting, malaise for 2 days. Decreased oral intake. Vague historian. Denies urinary or bowel symptoms. Denies cough, chest pains or fevers. Currently breastfeeding 4 months old infant. Husband reports patient has history of Type I Diabetes, variable insulin compliance- not measured BGL for last 2-3 weeks, and not taking insulin regularly for the last 2-3 weeks as patient is trying ‘home remedies.’ Non-Medicare, BUPA health insurance.
Question
1. Explain the pathophysiology leading to all the clinical manifestations with which Mrs Mirza presents. Please use information from diagnostic results where relevant.
2. Mrs. Mirza has been prescribed the below two interventions. – Briefly explain/provide rationale why each of these two (both) interventions are prescribed for Mrs Mirza using pathophysiological linking and appropriate evidence – Discuss briefly the specific mechanism of action of the medication and relate the medication to the underlying pathophysiology – Describe briefly the impact of not performing the interventions • Insulin replacement • Replace Potassium as per protocol