17 Oct Case Study APA paper minimum of 5 pages This Assignment must be submitted in an APA format with a minimum of 5 pages not i
Case Study APA paper minimum of 5 pages
This Assignment must be submitted in an APA format with a minimum of 5 pages not including title page and reference page
Be sure and support your answers or actions with EVIDENCE based on guidelines, research and/ or other authoritative sources.
References should include AT LEAST one original research article, one guideline or standard of practice and 3 peer reviewed articles.
Support your arguments with appropriate evidence from the literature, citing and referencing in APA 7th edition style. Be sure to first view the Unit 3 Assignment Grading Rubric (found in the Grading Rubrics section under Course Resources) and use it to guide your completion.
Assignment Requirements:
Before finalizing your work, you should:
- be sure to read the Assignment description carefully(as displayed above);
- consult the Grading Rubric(under Course Resources) to make sure you have included everything necessary; and
- utilize spellingand grammar check to minimize errors.
Your writing Assignment should:
- follow the conventions of Standard English(correct grammar, punctuation, etc.);
- be well ordered, logical, and unified, as well as original and insightful;
- display superior content, organization, style,and mechanics; and
- use APA 7th edition.
History of present illness
A 32-year-old African American female was admitted to the hospital with shortness of breath, nausea, vomiting, and abdominal pain. The patient reports that she was fired from her job approximately 3 months ago and has been unable to afford her supply of medications.
Past medical history
Type I diabetes mellitus, hypertension, hyperlipidemia, pancreatitis, and peripheral neuropathy
Social history
Patient smokes five cigarettes daily, denies drug use, and drinks approximately a six-pack of beer a week.
Diabetes-related history
The patient states that at the time of her initial diagnosis with type 1 diabetes, she was hospitalized with a glucose value >1200 mg/dL and she was experiencing nausea, vomiting, rapid breathing, sweet smelling breath, polyuria, polydipsia, and polyphagia. She reports that she has been on insulin since she was 15 years old, and she has never been prescribed oral agents for diabetes management.
Most recently, she has been using Lantus 70 units once daily, and Novolog 10 units with meals three times daily. Patient was also taking medications for hyperlipidemia and hypertension, but cannot recall the names or dosage she was taking. When asking about patients diet, the patient relates that since she lost her job, she does not have enough money to purchase healthy foods and eats when food is available, often snacking on high carbohydrate foods.
On examination, she was tachypneic, her temperature was 36.8 C (98.2 F), pulse rate 132 beats per minute (Tachycardia), respiratory rate 34 breaths per minute, blood pressure 92/53 mmHg; she also had (Dehydration) dry mucous membranes, poor skin turgor, nausea, and vomiting. She was slightly confused. Rapid hematology and biochemical tests showed hematocrit 48%, hemoglobin 14.3 g/dl (143 g/L), white blood cell count 10,000/ l, glucose 950 mg/dl (Hyperglycemic), urea 60 mg/dl (10.2 mmol/L) (Elevated urea – https://www.specialopsspeaks.com/high-urea-causes-symptoms-and-how-to-lower-its-levels/), creatinine 1.4 mg/dl (123.7 mol/L), Na+ 152 mEq/L (Hypernatremia), K+ 3.8 mEq/L (Normal potassium level), PO4 2.3 mEq/L (0.74 mmol/L) https://healthresearchfunding.org/po4-blood-test-results-explained/, and Cl 110 mmol/L. Arterial pH was 6.9 (Acidosis), PO2 95 mmHg, PCO2 28 mmHg (Normal), HCO3 9 mEq/L (Low) so this means Metabolic Acidosis with a low PH, and O 2 sat 96%. The result of the strip for ketone bodies in urine was strongly positive. Urinalysis showed glucose >1000 mg/dl and specific gravity 1.050. Lipid panel: Total Cholesterol 223, LDL 117, Triglycerides 238.
Address the following in your Paper:
- What are your top three differential diagnoses for this patient? Diabetic keto acidosis, Acute Pancreatitis, Alcoholic Ketoacidosis, Appendicitis, Lactic Acidosis, Dehydration, Metabolic Acidosis
-
https://emedicine.medscape.com/article/118361-differential
- What is your final working diagnosis for this patient? Diabetic Keto Acidosis
- What further testing is needed to confirm the diagnosis?
- How will you manage this patient to include pharmacologic and non-pharmacologic treatments for complete diabetic management?
- What education would you provide this patient regarding their diagnosis and treatment?
- What community resources are available to assist this patient?
- Which online websites/apps assisted you in providing care to this patient?
Our website has a team of professional writers who can help you write any of your homework. They will write your papers from scratch. We also have a team of editors just to make sure all papers are of HIGH QUALITY & PLAGIARISM FREE. To make an Order you only need to click Ask A Question and we will direct you to our Order Page at WriteDemy. Then fill Our Order Form with all your assignment instructions. Select your deadline and pay for your paper. You will get it few hours before your set deadline.
Fill in all the assignment paper details that are required in the order form with the standard information being the page count, deadline, academic level and type of paper. It is advisable to have this information at hand so that you can quickly fill in the necessary information needed in the form for the essay writer to be immediately assigned to your writing project. Make payment for the custom essay order to enable us to assign a suitable writer to your order. Payments are made through Paypal on a secured billing page. Finally, sit back and relax.
About Wridemy
We are a professional paper writing website. If you have searched a question and bumped into our website just know you are in the right place to get help in your coursework. We offer HIGH QUALITY & PLAGIARISM FREE Papers.
How It Works
To make an Order you only need to click on “Order Now” and we will direct you to our Order Page. Fill Our Order Form with all your assignment instructions. Select your deadline and pay for your paper. You will get it few hours before your set deadline.
Are there Discounts?
All new clients are eligible for 20% off in their first Order. Our payment method is safe and secure.