Dka Case Study Nursing

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Diabetic Emergencies, Part 5: Dka Case Studies

Case Study 1 A 32-year-old male with type 1 diabetes since the age of 14 years was taken to the emergency room because of drowsiness, fever, cough, diffuse abdominal pain, and vomiting. Fever and cough started 2 days ago and the patient could not eat or drink water. He has been treated with an intensive insulin regimen (insulin glargine 24 IU at bedtime and a rapid-acting insulin analog before each meal). On examination he was tachypneic, his temperature was 39° C (102.2° F), pulse rate 104 beats per minute, respiratory rate 24 breaths per minute, supine blood pressure 100/70 mmHg; he also had dry mucous membranes, poor skin turgor, and rales in the right lower chest. He was slightly confused. Rapid hematology and biochemical tests showed hematocrit 48%, hemoglobin 14.3 g/dl (143 g/L), white blood cell count 18,000/ μ l, glucose 450 mg/dl (25.0 mmol/L), urea 60 mg/dl (10.2 mmol/L), creatinine 1.4 mg/dl (123.7 μ mol/L), Na+ 152 mEq/L, K+ 5.3 mEq/L, PO4 3−2.3 mEq/L (0.74 mmol/L), and Cl− 110 mmol/L. Arterial pH was 6.9, PO 2 95 mmHg, PCO 2 28 mmHg, HCO 3−9 mEq/L, and O 2 sat 98%. The result of the strip for ketone bodies in urine was strongly positive and the concentration Continue reading >>

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Popular Questions

  1. Corey LeMont

    With the high fats one consumes during ketosis, your brain and nervous system has plenty of easily-metabolized energy. I was using MCT oil, avocados, fish, etc. I was blending up protein shakes which contained high levels of healthy fresh fruits and so on. I was consuming Wheatgrass juice. And I was supplementing with many natural herbs and vitamins.
    As for nootropics, I was using Cognitex by the Life Extension Foundation.
    I was also using Oxiracetam and Noopept.
    Additionally, I was using Ginkgo biloba, Bacopa extract, Chaga mushroom extract, Upgraded Glutathione, CILTEP, a B12 patch, Green Tea, Taurine, Iodine, Korean Red Ginseng Root, etc.
    Another thing which you might discount as a nootropic at first until you research it, is: Protein. I was using Upgraded Grassfed Protein made from New Zealand cows. Added to it is Colostrum which is the first few days of milk production by the cows.
    I also was eating raw Oysters, adding real grassfed butter to my meals, drinking San Pellagrino water, supplementing with Zinc, eating Pistachios, getting sunlight, Earthing, Exercising beginning in the Spring, doing cold therapy, etc.
    I can say that the results were excellent. My memory improved. My ability to hold much more complex ideas within the mind was vastly increased. You can imagine it as being able to reason with a thought which is made up of 2–3 dozen mini-thoughts and have them all integrated in a 3-dimensional model.
    I would love to help you answer more questions you may have. I coach people for optimal performance for a living. If you’d like to thank me, I can hook you up with sources for these supplements.

    Oh, P.S., I also used Magnesium which was quite gainful.

  2. Alan Kay

    It could be very good at first, but there is only so much tour brain can do and it could very well explode with all the super power you might get from it.

  3. -> Continue reading
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