Case Study: Sam - Nursing Assignment Help

Assignment Task:

Task:

Case study: Sam
Sam, a 16-year-old, was brought in by ambulance after collapsing at a dance party at 0200 hours. Accompanied by her girlfriend, who states that Sam has been an IDDM since she was little, and had been complaining of frequency and burning when going to the bathroom.
Clinical assessment reveals:

o RR Kussmauls breathing at 28 breaths/minute
o SpO2 90% on supplemental oxygen
o HR 140/min
o Temp 37.8ºC
o BGL records ‘Hi’, formal BGL 28 mmol/L
o GCS 11 (E2, V4, M5)

Management includes:

o 15 L/min via a non-rebreather mask
o IV normal saline stat
o IV insulin titrated to BGL
o IV 5% dextrose
o IDC
o CXR
o Blood pathology, specifically K+

Arterial blood gas results:
  First ABG ABG after 30minutes
pH 7.2 7.25
PaO 2 70mmHg 90mmHg
PaCO 2 30mmHg 34mmHg
HCO 3 - 16mmmol/L 18mmol/L
Base excess -5 -4
Sam was slow to respond and transferred to the intensive care unit.

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