What condition would most likely be expected

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?

Reference no: EM133644369

Questions Cloud

Would you be inclined to agree with the question given : If given a survey today, would you be inclined to agree with the question given, is your job satisfaction decreasing and your stress level increasing

Determine safe patient centered nursing care : Determine safe patient centered nursing care using evidence- based practice for patients experiencing infection, inflammation and tissue integrity.

Specific disadvantaged population group : Which represents and advocates for a specific disadvantaged population group

Do you see the problems at cvs justifying a process : Do you see the problems at CVS justifying a process transformation? Why or why not? Explain using concepts learned about business process re-engineering

What condition would most likely be expected : What condition would most likely be expected? What will happen if this condition is not treated? What actions should the nurse take?

Which stage in the kotter model ensures that the members : Which stage in the Kotter model ensures that the members of the organization understand why the change is necessary?

How might better communication improve employee : How might better communication improve employee performance and motivation? What type of team might help solve this communication problem

What was going on with me offer an example : What was going on with me Offer an example when you as a consumer were responding to social media reviews of the healthcare organizations. Assess if it is a rel

Implement improvements to rectify unsatisfactory performance : Monitor operational performance against the performance objectives and budgets and implement improvements to rectify unsatisfactory performance

User Account

All Pages