Other
NURS 2700 Type 2 Diabetes Assignment
- Course
- - NURS 2700
- Institution
- Valdosta State University
Detailed Discussion Assignment on Type 2 Diabetes.
[Show more]
Content preview
Patient B would need to be assessed first. He has high potassium and HCO3 levels. Healso has low magnesium and calcium and a low pH level. The high potassium accompanied by
low pH, calcium, and magnesium can cause dysrhythmias. Excessive amounts of potassium can
also “shift to the intravascular space, which can be dangerous (especially within the heart)”
(Story, 2018, p. 170). High calcium and low pH can also lead to a coma. Patient B is at greater
risk for developing a heart condition. “Hyperkalemia refers to serum potassium levels greater
than 5mEq/L” (Story, 2018, p. 170). Some causes of hyperkalemia can include Addison’s
disease, Gordon’s syndrome, and certain medications like potassium sparing drugs and
angiotensin-converting enzyme inhibitors. Low magnesium levels otherwise known as
hypomagnesemia can cause numbness and tingling. Low calcium levels also known as
hypocalcemia can cause “tingling of the feet, fingers, tongue and lips” (Burke, 2019). A possible
etiology that can be associated with the patient’s hypocalcemia is either “ too much calcium is
lost in urine or not enough calcium is moved from bones into the blood” (Lewis, 2018).
Hypomagnesemia can be caused by “decreased absorption of magnesium in the gut or increased
excretion of magnesium in the urine” (Dix, 2017). Some conditions that can aid in the
manifestation of low magnesium can include “gastrointestinal (GI) diseases, advanced age, type
2 diabetes, use of loop diuretics (such as Lasix), treatment with certain chemotherapies, and
alcohol dependence” (Dix, 2017).
Manifestations that can be associated with hyperkalemia would be muscle weakness,
paresthesia, bradycardia, dysrhythmias, nausea, and diarrhea. Manifestations that can be
associated with hypocalcemia can include anxiety, depression, tremors, lethargy, seizures, and
muscle spasms. Manifestations that can be apparent in a patient with hypomagnesemia can be
personality changes, seizures, tingling, nausea, and decreased appetite. To analyze the patient's
arterial blood gases you would start off by analyzing the patient’s pH, PaCO2, and HCO3 levels.
The pH is less than 7.4 so you will label it with an A. The PaCO2 is high so you will label it with
an A. The HCO3 level is high so you will label it with a B. The two A’s pair up leaving the B
unpaired. The patient still has an abnormal pH level with the B being different from the two A’s.
This means that it is partially compensated. Because we have two A’s and one of them is the
PaCO2, we can now determine that the disorder is respiratory. The renal system will attempt to
compensate. “The renal system affects pH by reabsorbing bicarbonate and excreting fixed acids”
(Hopkins & Sharma, 2019).
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller anyiamgeorge19. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.79. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
64450 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 15 years now