A 23-year-old male with a history of type I diabetes present…
A 23-year-old male with a history of type I diabetes presented to the emergency department due to a change in mental status. Nurses’ Notes 1200 23-year-old male with a history of diabetes type I brought to the emergency department by spouse for changes in mental status from his baseline. The client’s wife reports that he woke at 0600 to complete his morning routine. At approximately 1100 he became unaware of his surroundings and began sweating profusely and slurring his words. Breath sounds are clear but noted with a fruity citrus odor and deep rapid respiration’s. Sinus tachycardia per cardiac monitor. He is awake and alert, pupils equal and reactive to light. Vital Signs Time 1200 Temp 99.5° F (37.5 °C) P 118 RR 32 B/P 89/52 Pulse oximeter 89% on RA Medications Humalog insulin subcut sliding scale with meals Lantus 10units QHS Which 4 findings are most significant?