Question

You are providing care to a patient experiencing diabetic ketoacidosis. The patient is on an insulin drip and their current glucose level is 300. In addition, to the insulin drip the patient also has 5% Dextrose 0.45% NS infusing in the right antecubital vein. Which of the following patient signs/symptoms causes concern?

A. Patient has a potassium level of 2.3
B. Patient complains of thirst.
C. Patient is nauseous.
D. Patient's skin and mucous membranes are dry.

Answer 1

The sign/symptom of concern in this scenario is a potassium level of 2.3, as low potassium levels can be life-threatening. Glucose levels of 300 are expected in a patient with diabetic ketoacidosis.

Step-by-step explanation:

A patient with diabetic ketoacidosis who is on an insulin drip and has a glucose level of 300 may exhibit several signs/symptoms. However, the sign/symptom that causes the most concern is a potassium level of 2.3 (option A).

Low potassium levels, or hypokalemia, can be life-threatening and can lead to cardiac arrhythmias and muscle weakness. In this case, the patient needs immediate intervention to correct their potassium levels.

It is important to closely monitor glucose levels as well, but in this scenario, the patient's glucose level of 300 is expected due to their current condition and treatment.