Diabetic Ketoacidosis – Diabetes Mellitus Example

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"Diabetic Ketoacidosis" is a perfect example of a paper on  diabetes mellitus. The 18-year-old clinic result shows that there is a presence of metabolic acidaemia inform of ketoacidaemia. This is shown in the patient’ s record since there is a low plasma HCO3 concentration. The report that the young man is diabetic and the starvation that made him omit his insulin also strengthen the presence of Ketoacidaemia (Gries, 2003).   There is a presence of metabolic acidosis due to the arterial blood gas results. A low PH and low blood HCO3 characterize metabolic acidosis. The young man’ s PH is 6.9, which is lower than the normal PH of a healthy person.

HCO3 is also very low than expected. There is also the presence of respiratory alkalosis (Brunetti & Waldhäusl, 1987). Respiratory alkalosis causes vomiting and from the report, the patient vomited for 48 hours. It is also accompanied by slow breathing, this is evident from the report and it is the main reason behind the patient receiving oxygen via a Hudson mask. Diagnosis The young man is suffering from diabetic ketoacidosis, which is under type 1 diabetes and it is most common to people under the age of 19 years.

This is due to the low PH, low blood HCO3, blood glucose, and ketones in the urine. These are the most common reasons behind the conclusion of the insulin dependency of the young man. A person suffering from diabetic ketoacidosis is also likely to vomit and have deep breathing. The results are likely to be from the A1C method of diagnosing diabetes and the urinalysis method (Gries, 2003).   Replacing fluids lost through excessive urination and vomiting and administer insulin are the main treatment strategies to stabilize the patient before transporting him to a tertiary facility (Escott-Stump, 2008).  

References

Brunetti, P., & Waldhäusl, W. K. (1987). Advanced models for the therapy of insulin-dependent diabetes. New York: Raven Press.

Escott-Stump, S. (2008). Nutrition and diagnosis-related care. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins

Gries, F. A. (2003). Textbook of diabetic neuropathy. Stuttgart: Thieme

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