Patient in metabolic acidosis

1. Why was this patient in metabolic acidosis?
2. Do you think the patient will eventually be switched to an oral hypoglycemic agent?
3. How would you anticipate this life changing diagnosis is going to affect your patient according to his age and sex?
4. The parents of your patient seem to be confused and not knowing what to do with this diagnoses. What would you recommend to them?

case 4

Critical Thinking Questions

1. Why would the patient be instructed to avoid tobacco and caffeine?
2. Why did the physician recommend 6 weeks of medical management?
3. How do antacid medication work in patients with gastroesophageal reflux?
4. What would you approach the situation, if your patient decided not to take the medication and asked you for an alternative medicine approach?