James is a 19-year-old who was brought to the Emergency Department after collapsing during his soccer match. Upon presentation, James reports ongoing thirst and the repeated need to urinate. He has recently lost 8 kilograms without intending to. He states that he has Type 1 Diabetes Mellitus and is on Insulin injection. On examination, he appears dehydrated and is breathless. Vital signs on presentation are: Respiratory rate: 26 breaths/minute Heart rate: 138 beats/minute Blood pressure: 90/60 mmHg Temperature: 36.9oC Urine dipstick was positive for glucose and ketones Blood glucose: 25 mmol/L Blood ketone: 5.6 mmol/L Blood pH: 7.1 James is diagnosed with Diabetic Ketoacidosis (DKA). He is commenced on Actrapid insulin continuous infusion, 0.9% Sodium Chloride infusion 1 litre/hour, and Potassium Chloride infusion. Outline the nursing care required to manage James’s condition addressing both acute and chronic management. Consider his: o physical, social, psychological, emotional, and cultural needs o Involvement of the interprofessional team to provide safe, effective, and culturally appropriate care.
[Verified Answer]: James is a 19-year-old who was brought to…
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