SCENARIO Mr. C, a 34-year-old White male

SCENARIO Mr. C, a 34-year-old White male was brought to Emergency Department after he was found unconscious by his wife. He was diagnosed with Type 1 Diabetes a year ago. He is taking insulin injections three times a day. A week ago, he had a history of flue, nausea and vomiting and stopped insulin two days ago as he was unable to eat. Physical assessment is as follows: breathing is deep and rapid, acetone smell breath, skin flushed and dry. The blood glucose level is 40.5mmol/L and blood pH of 7.26 QUESTIONS Briefly explain the pathophysiology of the development of diabetic ketoacidosis (DKA) in this patient. What clinical manifestations of DKA does the patient exhibit? What distinguishes this case from hyperosmolar hyperglycemic nonketotic syndrome (HHS)? What is the priority nursing intervention for the patient? What teaching should be done with the patient and his family? What is the role of the wife in the management of his diabetes? Based on your assessment identify any collaborative problems. SCIENCE HEALTH SCIENCE NURSING NURSING 2580

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