Reference no: EM133644369
Homework: Diabetes
Case Summary
The school RN sees an 8-year-old male coming into the nursing office by his Phys Ed teaching with complaints of profuse sweating and confusion. The patient is currently afebrile.
Objectives (More or less are possible)
1. Recognizing signs of hypoglycemia
2. Differentiate between hypo- and hyperglycemia
3. Initiates treatment plan for abnormal blood sugars
4. Evaluating effectiveness of treatment plan
Description of Client
Age: 8 years Gender male
Medical diagnosis or chief concern Abnormal blood sugars
Care Setting(More than one are possible)
Emergency Department
Medical-Surgical Unit
Pediatric Unit
Maternity Unit
Behavioral Health Unit
Intensive care unit
Post-anesthesia Care Unit
Skilled-care Facility
Home
Outpatient Clinic
Other setting: school
Others present:
History of chief concern/current condition/problem
Symptom:sweating and confusion
Onset: 30minutes ago
Treatments tried (if applicable):drank water and sat down
Other history as indicated
Allergies: NKA
Weight/BMI (If applicable):23 kg
Medical diagnosis/surgeries/psychosocial:Type I DM diagnosed 1 year ago, no further past medical history, no surgical history
Medications:Novolog
Diagnostic tests:blood glucose POC, vital signs
Assessments
Important, abnormal, or relevant assessments Normal or irrelevantassessments
Confusion
Sweating
Recent illness with "up and down" sugars
PMHx DM Type I Afebrile
Solutions
Priority to address Desired outcome
Confusion
Sweating
DM I history Alert and oriented x3
Normal blood sugars
Actions/order indicated Actions/order not indicated/contraindicated
Obtain blood sugar
Obtain full set of vital signs Send back to gym class immediately
Increase insulin dose
Information Sources
Phase Sheet
Nurses' Notes
History and Physical
Admission Notes
Vital Signs
Medications
Orders
Intake and Output
Laboratory Report
Flowsheet
Progress Notes
Diagnostic Report
Other:
Task
Question I. What is most concerning finding?
Question II. What factors best explain client's symptoms? Use specific pathophysiology.
Question III. What condition would most likely be expected?
Question IV. What will happen if this condition is not treated?
Question V. What actions should the nurse take?
Question VI. Which actions are contraindicated?
Question VII. How should the nurse provide the glucose and why?
Question VIII. When should the RN re-check the blood glucose?
Question IX. Under which circumstances would EMS be activated?
Question X. Who should the nurse notify?