Case study: Nursing diabetics with hyperglycemia and the blood is acidic from the accumulation of ketone substances in the bloodstream

Abstract

     Case study: A 20-year-old Thai woman was admitted to the hospital on September 4, 2023. The patient came for a follow-up appointment. Have dizziness Nausea and vomiting water 10 times, 1 day before coming to the hospital, had diabetes mellitus type 1, FBS result 405 mg%, rapid pulse 136 times/minute, doctor diagnosed Diabetes Mellitus type I with Diabetic ketoacidosis with Sepsis. Monitor vital signs and ketoacidosis before taking the patient to the accident and emergency room. Provide nursing care to ensure patients receive intravenous fluids. Medicine according to treatment plan and sent for laboratory testing Correct hyperglycemia Provide information to patients and relatives After that, contact and coordinate to receive the patient for medical treatment and transport him to the intensive care unit safely. Follow up for 2 days. Sugar levels return to normal levels. No complications were found during medical care. The patient was discharged on September 11, 2023. Total length of stay in hospital was 7 days. Results of health assessment in case studies Important nursing diagnoses found were: In shock due to sepsis There is a risk to the patient of tissue depletion of oxygen due to acidosis from the buildup of ketones. Patients have a chance of deteriorating their symptoms while waiting to be examined. after nursing The problem was completely solved and a multidisciplinary team of doctors,pharmacists, physical therapists, and nutritionists assessed the problem and planned care together, sending information to the Subdistrict Health Promoting Hospital to participate in continuous care.