b’G. K. a 46-year old African-American female is admitted to the hospital because of xc2x93feeling weakxc2x94, xc2x93being thirsty a lotxc2x94, and having frequent urination. On assessment, the physician notes G.K.’
b’nG. K. a 46-year old African-American female is admitted to the hospital because of xe2x80x9cfeeling weakxe2x80x9d, xe2x80x9cbeing thirsty a lotxe2x80x9d, and having frequent urination. On assessment, the physician notes G.K. having fruity breath odor, skin is warm and dry, slightly drowsy, and with deep and rapid respiratory effort. She states some numbness and tingling of fingers and toes; a dime-size reddened area on the lateral aspect of the right toe is also noted.Past medical history reveals that G.K. was diagnosed with Type 2 diabetes a year ago. Shexe2x80x99s been taking glipizide 5 mg every morning before breakfast. Her father had a history of Type 2 diabetes and died of acute myocardial infarction four months ago. A week prior to admission to the hospital, she had some xe2x80x9cflu-likexe2x80x9d symptoms that resolved with self-medication of Tylenol extra strength, orange juice, and bedrest.xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0 Laboratory results reveal the following:xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0 Serum glucose: 650 mg/dlxc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0 Serum K+: 6.2 mEq/LArterial blood gas: pH 7.25; PaCO2 30 mm Hg; HCO3 14 mEq/Lxc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0xc2xa0 The physicianxe2x80x99s admitting diagnosis: Type 2 diabetes mellitus, probable diabetic ketoacidosis.Answer the following questions:Describe the risk factors evidenced in G. K.xe2x80x99s history that are compatible to her developing the diabetes mellitus (1 point).Compare and contrast the pathophysiology of different types of diabetes mellitus (3 points).Identify the clinical manifestations of diabetes mellitus as presented by G.K. (2 points)List at least 3 important laboratory tests used to diagnose diabetes mellitus (1 point).Describe the medical management used in treating clients with diabetes mellitus (1 point).Enumerate and explain the acute and chronic complications of diabetes mellitus. Give 2 examples of each complication (2 points). ‘


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