Case Study The Emergency Room With Dka And New Onset...

Pharmacology Case Study of Mr. Z This paper will explore the history and hospital course of Mr. Z., a 23 year old Caucasian male who was admitted on October 11, 2016 to Massachusetts General Hospital for treatment of diabetic ketoacidosis (DKA) and new onset type 1 diabetes mellitus. DKA is an emergency situation that results in 100,000 hospitalizations in the US yearly, a 9% mortality rate, and treatments of reportedly 1 billion dollars per year (Katsilambros, Kanaka-Gantenbein, Liatis, Makrilakis, Tentolouris, 2011). Presenting to the emergency room with DKA is the first manifestation of type 1 diabetes in 30% of cases (Katsilambros et al., 2011). This paper will examine Mr. Z.’s case presentation, pertinent medical history, diagnosis formulation, hospital management, intensive review of his medications, and discussion. Case Presentation Mr. Z. is a pleasant, 23 year old Caucasian male who presented to Massachusetts General Hospital emergency room on October 11, 2016. Mr. Z had initial symptoms of headache for 3 weeks and difficulty concentrating in school. Over the last two weeks he developed extreme blurred vision, polydipsia, polyphagia, and polyuria which was increasing in severity. He also had an unintentional weight loss of 10 pounds over the last three months. He was home for Yom Kippur when his father noticed after fours of fasting that Mr. Z. was diaphoretic, short of breath, dizzy, pale, and was confused. 911 was called and he was brought to the