Reference no: EM133219621

Scenario:

14 year old admitted to ward by one of the pediatrician to manage mild DKA (Diabetic Ketoacidosis).

Background:

Type 1 Diabetes

Positive thyroid antibodies with normal thyroid function

Labile blood sugar complain of nausea, thirsty, not eating, only had few sips of water and LLQ abdo pain- sharp and "pins and needles"

Patient is very alert and orientated, but looking very tired or no energy, always in bed. ketones in urine-ascribed to fasting

Questions: Making a clinical reasoning cycle

1. Instead of saying it was DKA, What are other 3 problem using the information above that may related to DKA?

2. What are the goals? (TOP 3 problems)

3. What are the interventions and rationale (from both Q1 and Q2)?

4. As a nurse, what are things we need to be aware and why are we implementing strategies to prevent DKA? Also, what are the factors that contributed a child to have DKA?

5. What are the things that we need to know about DKA?

6. If left untreated or did nothing, what will happen to patient or potential complications?

7. If we're looking after a teenagers with DKA again, what could we do differently?