NRSG370 Assessment Task 3: Case Study – High Dependency Mr. Brad Taylor Mr. Brad Taylor is a 28-year-old man admitted to the High Dependency unit (HDU) of a large metropolitan hospital. Brad was brought in via the Emergency Department by his mother and girlfriend, following a 2-day history of generally feeling unwell, vomiting, polydipsia and malaise. He is also recovering from a very mild cold. You are the nurse caring for Brad in HDU 24 hours post his hospital admission. History: T1DM for 10 years, and ICU admission for DKA 5 years ago otherwise well, uneventful appendicectomy 5 years ago. Non-smoker, social drinker, NKDA. Lives with girlfriend, works full time. Medications: Humalog 8 -16 u/s PC, Lantis 28u/s nocte On admission in HDU: • Vital signs: SpO2 98% on RA, HR 125bpm, RR 35 (Kussmaul type with acetone smell), Temp 37.3° Celsius, BP 100/60; GCS 14/15 PEARL, pain 3/10 central abdomen. • Physical assessment: restless, c/o thirst and nausea with intermittent vomiting. Abdo is lax, chest is clear, skin in dry. • Urine output 25ml/hr