Final answer:
In the initial phase of treating a patient admitted with diabetic ketoacidosis, the priority is to maintain and monitor the patient's fluid balance to correct dehydration and fluid losses. Monitoring the patient's level of consciousness is also crucial because alterations can indicate disease progression. Additional treatments may include dialysis under the supervision of a registered nurse, as necessary.
Step-by-step explanation:
The initial phase of treatment for a patient with type 1 diabetes admitted to the critical care unit (CCU) for diabetic ketoacidosis should prioritize maintaining and monitoring the patient's fluid balance. Diabetic ketoacidosis can lead to severe dehydration, so it's crucial to restore fluid balance to address hypovolemia and promote renal function. Additionally, fluids help to dilute the high glucose concentrations in the blood and replace losses from polyuria.
The CCU nurse will also be focused on direct supervision and assessment, as the patient's level of consciousness is a vital sign of their current state and potential progression to diabetic coma. High blood glucose levels in diabetic ketoacidosis can affect mental status; therefore, assessing consciousness is key in monitoring disease progression and response to treatment.
As the patient receives treatment, the nurse will operate under the direct supervision of a registered nurse, providing interventions like dialysis treatments if necessary, which include ongoing monitoring of the patient's condition, ensuring accurate and sterile procedures, and responding to changes in the patient's needs.