Question 2: Interventions
Insulin replacement:
For the patients with diabetic ketoacidosis, inulin replacement therapy is known as the immediate and first line treatment. According to Lizzo et al. (2023) a high dose of insulin is administered to the patients for management of the condition, and to bring back the blood surge levels to normal. When the blood sugar level reaches to normal, it then stops the process of acidosis and the pH of the blood become normal. According to Janež et al. (2020) a higher dose of 0.7 units should be administered in patients with ketones, as it targets glycaemia by reaching the targeted cells for the consumption of energy and stops the consumption of body muscles for energy and metabolic activities. If this intervention is not [performed immediately, then the process of lipolysis will not stop as the body fats will be broken down for energy consumption, producing fatty acids and leading to ketones and acidosis. According to Eledrisi and Elzouki (2020) mismanagement of DKA or not administering suffice amount of insulin in the body until the sugar levels comes to normal might result in cognitive impairment and the patient can be at a risk of neural dysfunction, long term coma, endocrine system diseases or even death. Therefore, insulin replacement is essential to regulate and optimise the blood sugar levels of Mrs Mirza and prevent her from further complications.
