Nursing Case Studies
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, 2
Case Study 1: Adolescent with Diabetes Mellitus
Question 1. Why was this patient in metabolic acidosis?
The 16-year-old adolescent was in metabolic acidosis since the complications of diabetes
mellitus undermined the functions of the kidney in stabilizing acid in the body. Mostly,
metabolic acidosis is caused by excess acid circulation in the body, which is common among
diabetic patients. Results of comprehensive assessment and diagnosis indicated that excessive
thirst and voluminous urination were other signs of diabetes mellitus in the adolescent. Accurate
physical assessment helps discover complications of diabetes mellitus (Jarvis, 2016). Therefore,
managing the adverse effects of diabetes mellitus would help the adolescent patient stabilize the
metabolic acidosis condition.
2. Do you think the patient will eventually be switched to an oral hypoglycemic agent?
I am convinced that the patient will use the oral hypoglycemic agent that will regulate the
glucose levels in the body and enhance the health of the patient. Using the oral hypoglycemic
agent will serve as part of holistic interventions provided to a patient with diabetes mellitus to
prevent further health complications. The rationale for selecting the oral hypoglycemic agent will
depend on the results of consultation between physicians, nurses, and the family of the
adolescent patient.
3. How would you anticipate this life changing diagnosis is going to affect your patient
according to his age and sex?
The diagnosis conducted on the 16-year-old patient affected the experience of the caring
process. The patient's patterns of thinking, mood, feelings, and behaviors are changed due to