Practice Quiz

CCRN Critical Care Nursing

Category - Adult

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A 35 year old male is admitted with a diagnosis of diabetic Ketoacidosis. His blood sugar is currently at 485 mg/dL. His blood pressure is 70/38 and his heart rate is 130. Serum sodium is at 139 and serum potassium is 5.8. What should be done first?
  1. Begin treating Hypovolemia with a bolus of 9% normal saline over an hour.
  2. Begin with a bolus on regular insulin.
  3. Administer 40 meq intravenous potassium over one hour.
  4. Begin treatment of acidosis.
Explanation
Answer: A - The first thing that should be done for the patient with a blood sugar of 485 mg/dL, a heart rate of 130 and a blood pressure of 70/38 is to treat the Hypovolemia with rapid fluid replacement. Then, a bolus of intravenous insulin should be started.
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