K.B. is a 32-year-old woman being admitted to the medical floor for complaints of fatigue and dehydration. While taking her history, you discover that she has diabetes mellitus (DM) and has been insulin dependent since the age of 8. She has undergone hemodialysis (HD) for the past 2 years because of end-stage renal disease (ESRD). Your initial assessment of K.B. reveals a pale, thin, slightly drowsy woman. Her skin is warm and dry to the touch with poor skin turgor, and her mucous membranes are dry. Her vital signs are 140/88, 116, 18, 99.9 ° F (37.7 ° C). She tells you she has been nauseated for 2 days so she has not been eating or drinking. She reports severe diarrhea. The following blood chemistry results are back.
Laboratory Test Results:
Sodium 145 mEq/L
Potassium 6.0 mEq/L
Chloride 93 mEq/L
Bicarbonate 27 mEq/L
BUN 48 mg/dL
Creatinine 5.0 mg/dL
Glucose 238 mg/dL
Think through the following related to K.B.’s condition:
Etiology and pathophysiology
Risk factors
Signs and symptoms
Diagnostic procedures
Medication and treatment
Nursing interventions, including patient education
Potential complications
Complete a concept map using the template.
Show interrelationships of all components.
Prioritize the nursing interventions related to complications.
Include at least three peer-reviewed sources to support your concept map, and an APA-formatted reference page.
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