NR507 Week 4-Discussion Part One and two 2018

Week 4: Discussion Part One

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Ms. Blake is an older adult with diabetes and has been too ill to get out of bed for 2 days. She has had a severe cough and has been unable to eat or drink during this time. She has a history of Type I diabetes. On admission her laboratory values show:

Sodium (Na+)

156 mEq/L

Potassium (K+)

4.0 mEq/L

Chloride (Cl–)

115 mEq/L

Arterial blood gases (ABGs)

pH- 7.30; Pco2-40; Po2-70; HCO3-20

Normal values

Sodium (Na+)

136-146 mEq/L

Potassium (K+)

3.5-5.1 mEq/L

Chloride (Cl–)

98-106 mEq/L

Arterial blood gases (ABGs)

pH- 7.35-7.45

Pco2- 35-45 mmHg

Po2-80-100 mmHg

HCO3–22-28 mEq/L

1. What is the etiology of Diabetic Ketoacidosis?

2. Describe the pathophysiological process of Diabetic Ketoacidosis

3. Identify the hallmark symptoms of Diabetic Ketoacidosis

4. Identify any abnormal lab results provided in the case and explain why these would be abnormal given the patient's condition.

5. What teaching would you provide this patient to avoid heart failure symptoms?

In addition to the textbook, utilize at least one peer-reviewed, evidence based resource to develop your post.

Week 4: Discussion Part Two

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A three-month-old baby boy comes into your clinic with the main complaint that he frequently vomits after eating. He often has a swollen upper belly after feeding and acts fussy all the time. According to his parents, the vomiting has become more frequent this past week and he is beginning to lose weight. After careful history taking, a thorough physical exam and diagnostic work-up, the patient is diagnosed with pyloric stenosis.

1. What is the etiology of pyloric stenosis?

2. Describe in detail the pathophysiological process of pyloric stenosis.

3. Identify hallmark signs identified from the physical exam and presenting symptoms. What diagnostic tests would help to confirm the diagnosis of pyloric stenosis?

4. Describe the pathophysiology of complications of pyloric stenosis.

5. What teaching would you provide this patient/parents regarding pyloric stenosis?

In addition to the textbook, utilize at least one peer-reviewed, evidence based resource to develop your post.

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