Care of deteriorating patient

Problem 1:
Using the A-E approach identify the nursing priorities for Raymond’s care whilst he is in the clinic.
– Consider both his current presentation and the potential for any further deterioration and how this could be managed.
– Treat Raymond as a whole person, considering everything we know about him and not just his presenting condition.
Problem 2: Provide a rationale for the care you have suggested in Problem 1
– Use the pathophysiology of type 1 diabetes mellitus and an understanding of Raymond’s overall condition.
– Remember to refer to relevant pharmacology
– Refer to appropriate national guidelines
Developing Scenario
A urine specimen taken at the surgery is positive for ketones. Raymond vomits whilst in the clinic and the nurse immediately calls for an ambulance to take Raymond to A&E. On arrival Raymond’s condition has deteriorated and he is barely conscious.
Problem 3:
Discuss the management of Raymond once her arrives at Hospital.
⦁ Consider any further evidence-based tests and treatment that may be required.
⦁ Any special considerations related to Raymond’s age.
⦁ Ongoing support that can be available to Raymond and his family to help him manage his condition.