Posted: August 13th, 2022

21-year-old female (A.M.) presents to the urgent care clinic

City College Altamonte Springs Mod 6 Nursing Causes of Etiology Case Study
Module 6 DKA Case Study Form

Show what you know.

GROUP Case Study

21-year-old female (A.M.) presents to the urgent care clinic with symptoms of nausea, vomiting, diarrhea, and a fever for 3 days. She states that she has Type I diabetes and has not been managing her blood sugars since she’s been ill and unable to keep any food down. She’s only tolerated sips of water and juices. Since she’s also been unable to eat, she hasn’t taken any insulin as directed. While helping A.M. from the lobby to the examining room you note that she’s unsteady, her skin is warm and flushed, and that she’s drowsy. You also note that she’s breathing rapidly and smell a slight sweet/fruity odor. A.M. has a challenge answering questions but keeps asking for water to drink. She’s only been able to take small amounts of water and juice. She hasn’t taken her insulin as prescribed because she hasn’t been able to eat. As you walk A.M. from the lobby to the exam room, you notice that she is unsteady, that her skin is warm and red, and that she looks tired. You also notice that she is breathing quickly and that you can smell something sweet or fruity. A.M. has trouble answering questions, but all he wants to do is drink water.

You get more information from A.M. and learn the following:

She had some readings on her glucometer which were reading ‘high’

She vomits almost every time she takes in fluid

She hasn’t voided for a day but voided a great deal the day before

She’s been sleeping long hours and finally woke up this morning and decided to seek care

Current labs and vital signs:

BP: 88/46

HR: 132 BPM

RR: 36/min, deep

Temperature: 101.3 F

Glucose 330 mg/dL

Potassium 6.2 mEq/L

Meet as a TEAM

Elect a Team Lead/Editor. Make assignments as a group.

The leader/editor will not write a section of the form/paper, unless needed. The leader/editor is responsible for putting all sections together, reading the paper to make sure it is NOT repetitive between sections, is written in a cohesive, professional style, and is in active voice.

In most cases, all team members will receive the same grade, so work together and help each other.

The leader/editor is responsible for turning in the group form and sharing the feedback.

Fill in at least THREE bullet points per heading.

Include Help write my thesis – APA Title page, in-text citation, and Help write my thesis – APA Reference page

Use the patient scenario above to SHOW what you KNOW about DKA by answer the following questions as a group.

1. What causes (etiology) DKA? What happens at the cellular level?

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2. What kind of patients are at the greatest risk for DKA?

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3. What are the major signs and symptoms (pathophysiology) of DKA?

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4. What are the most important treatment of DKA- in order?

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5. How can patients avoid DKA?

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6. What is the ESSENTIAL patient education to prevent the patient from going into DKA again?

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