A. Jorge Alvarez Jorge is a 45-year-old

A. Jorge Alvarez Jorge is a 45-year-old Latino/Hispanic male. He works as an accountant and has three daughters. Jorge has been a smoker for 20 years, but has been attempting to quit. His diet consists of about half home cooked foods and half fast-food items (he usually grabs a quick lunch from McDonald’s, Arby’s or Burger King when he’s working), and is usually accompanied by sweet tea. He tries to exercise but his desk job keeps him stationary during the day. He has, however, been taking walks on the weekends with his daughters. Over the past few months, Jorge has been extremely thirsty, has had some tingling in his legs, has been urinating frequently, and has felt extremely tired. He also has a sore on his leg that just does not seem to heal. Some blood work and patient info is in his chart and details are listed below. Result BMI (Weight: 210 lbs Height: 5’8″) 31.9 Blood Pressure (mm Hg) 155/95 Non-fasting glucose 178 Three months later, Jorge is brought to the hospital by his daughters. He had not been feeling well and thought a hike would give him some energy. He hiked for 3 hours with his daughters and drank ½ liter of water because he did not want to have to use the bathroom which he had been doing a lot lately. Afterward the hike, he had a large shake and sweet tea because he was hungry, thirsty, and on a tight schedule. On the way to his house, he began to complain about blurred vision, palpitations, and being very tired. Na 130 meq/L K 5.4 meq/L Glu 700 mg/dL Serum pH 7.4 Ketones 1+ What short term complication is Jorge suffering from? What labs support this diagnosis? What is the major pathophysiology of this complication? What differentiating pathophysiological difference between JSs and Jorge’s short term diabetic complications? How/why? SCIENCE HEALTH SCIENCE NURSING

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