The paper “The Rationale for Nursing Management” provides a case study where Mrs. Islet Langerhans, 65 years of age, has a PMHx of T2DM. On return to the ward post hemicolectomy she was administered IV infusion of 4% dextrose and 1/5 normal saline…
Besides the levels of glucose may be low than normal. Therefore, the intervention of infusing with dextrose is needed to prevent the body from turning to the use of ketone bodies, which may predispose to the development of diabetic ketoacidosis. However, this is only appropriate intervention if the body glucose level is less than 3mmol/l (Kable & Bourgeois 2014; p. 61). Therefore, the infusion of the patient with 4% dextrose may have exacerbated the rise in blood sugars. Besides, non-adherence to the diabetic diet is a major contributor to rising in blood sugars (Rebeiro, et al. 2013; p. 308). When the people with type II diabetes eats food with rich in sugar, their body is unable to convert it to glycogen, hence their blood glucose level will rise. Similarly, non-adherences to the drug regimen are crucial for these people. When they fail to take the drugs as prescribed, their body fails to regulate the blood sugars, therefore, an increase in blood glucose in the body (Rebeiro, et al 2013; p. 308). On the other hand, infusion of normal saline is appropriate. Normal saline expands the blood volume causing the diluting effect of blood (Kable & Bourgeois 2014; p. 61). As a result, the body will be supplied with adequate sugar. Besides, it prevents blood viscosity and reduces the polydipsia effect that is experienced by the patient (Rebeiro, et al. 2013; p. 308). Finally, the insulin infusion corrects the glucose level. In type II diabetes mellitus, oral hypoglycemics are encouraged. However, when sugars surge over the normal, insulin infusion forms a quick remedy from the progression o to diabetic ketoacidosis.
The rationale for this is that HHNS is likely to develop in diabetes mellitus type II patient if they fail to control the blood sugars. ...
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