Irritable bowel syndrome

A 57-year-old male patient presents to the emergency department with a chief complaint of muscle spasms, paresthesias to the hands and feet, and malaise. He reports he has a history of type II diabetes and has been taking metformin for nine years. He also has a history of irritable bowel syndrome and suffers from chronic diarrhea. The patient reports he quit smoking five years ago and drinks about two to three beers per night. Upon assessment, the patient has a positive Trousseau sign.

Vital signs are as follows: RR 20, T 97.8 F, BP 133/75, HR 80, O2 96% on RA

ABG results: pH 7.35, CO2 45, O2 80, HCO3 22

Can you write ADPIE(assessment, diagnosis, planning, implementation, and evaluation) for this case, please?