Scenario: You are working in an acute

Scenario: You are working in an acute care setting. Nick, a 34-year-old man was admitted to the Accident and Emergency (A & E) after he was found unconscious by his wife in their home. Objective data on admission in A & E Physical examination on admission â‹… Breathing is deep and rapid â‹… Fruity acetone smell on breath â‹… Skin flushed and dry Diagnostic studies â‹… Blood Glucose level 40.5 mmol/L â‹… Blood pH 7.26 The patient is commenced on fluid resuscitation and continuous regular insulin drip. He is administered potassium replacement. He has an IDC insitu. A blood sample was again collected for testing after commencing the IV and insulin therapy. He is administered oxygen therapy via nasal prong. You are assisting the health team with his emergency care and nursing care. You are as- sisting with assessment and monitoring the patient’s health status. Assessments needed to be done 1. Assesses the health status (body systems including) Airway, respiratory status Renal status Cardiopulmonary status 2. Monitors patient health status Level of consciousness Vital signs Rate of IV fluids Insulin therapy Blood glucose levels Urine Output and presence of ketones Electrolyte levels 3. Perform complex interventions to support care Assist with fluid and insulin therapy Administer medications 4. Write progress notes of the scenario.

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