Mr. Thomas Dwight has been brought by ambulance to the emergency department at 0715 complaining of abdominal pain and vomiting

Mr. Thomas Dwight has been brought by ambulance to the emergency department at 0715 complaining of abdominal pain and vomiting. The ambulance officer stated that Mr. Dwight has vomited foul smelling bile stained fluid once since leaving home and has ketotic breath. Mr. Dwight told the ambulance officers that he is a diabetic and hasn’t eaten or drunk anything much for a few days. Six months ago Mr. Dwight was diagnosed with bowel cancer and had a hemicolectomy with the formation of a colostomy. Postoperatively he developed ‘heart trouble’ and since then has been taking Lasix on a daily basis. His blood glucose level on arrival in the ED was 22mmol/L. Mr. Dwight has had blood collected for FBC, blood culture, electrolytes and liver function tests. He has two IV lines running at present: a 3% Dextrose 1/3 0.9% saline infusion and a continuous Insulin infusion. An urgent abdominal X-ray has been ordered. You have been asked to check his nasogastric tube and insulin infusion is all satisfactory to enable him to go for an urgent x-ray.

What do you as a team nursing for Mr Dwight situation

.Nursing care implications regarding: a. Acute complications of diabetes mellitus: hyperglycaemia and diabetic ketoacidosis b. Bowel obstruction c. Heart failure. 2.Process for prioritising nursing actions 3.Principles for effective teamwork in rapidly changing situations. Knowledge and skills regarding: 1.Patient assessment 2.Vital sign monitoring 3.Anxiety reduction 4.Nasogastric tube insertion/management 5.IVT and insulin infusion management 6.Clinical reasoning and decision-making.