Diabetes case study of A 21-year old female A.M. Essay Assignment Paper
Diabetes case study of A 21-year old female A.M. Essay Assignment Paper
Diabetes case study
A 21-year old female (A.M.) presents to the urgent care clinic with symptoms of nausea, vomiting, diarrhea, and a fever for 3 days. She states that she has Type I diabetes and has not been managing her blood sugars since she’s been ill and unable to keep any food down. She’s only tolerated sips of water and juices. Since she’s also been unable to eat, she hasn’t taken any insulin as directed. While helping A.M. from the lobby to the examining room you note that she’s unsteady, note that her skin in warm and flushed and that she’s drowsy. You also note that she’s breathing rapidly and smell a slight sweet/fruity odor. A.M. has a challenge answering questions but keeps asking for water to drink.
You get more information from A.M. and learn
· She had some readings on her glucometer which were reading ‘high’
· She vomits almost every time she takes in fluid
· She hasn’t voided for a day but voided a great deal the day before
· She’s been sleeping long hours and finally woke up this morning and decided to seek care\
Current labs and vital signs:
Case study adapted from:
Kindly order now for a custom-written, completely unique essay paper that is free of plagiarism! on Diabetes case study of A 21-year old female A.M. Essay Assignment Paper from Best Nursing Writers
Harding, M.M. & Snyder, J.S. (2015). Winningham’s critical thinking cases in nursing: Medical-surgical, pediatric, maternity, and psychiatric. Retrieved from: https://ebookcentral.proquest.com/lib/ras/detail.action?docID=2072336.
Answer the following SIX (6) questions within your group based upon the case study presented on page two. The last question (question assignment) can be found on the next page. Your answers can be typed within the document (you do not need to write a paper), but you will need to cite your information using APA format. As outlined above, at least two references are required.
1. A.M. is likely suffering from:
2. What is the pathophysiology for the condition you believe A.M. has (etiology, pathogenesis, and clinical manifestations)?
3. Relate the etiology and clinical manifestations for the condition you identified for A.M.
4. The practitioner at the urgent care facility makes the decision that A.M. needs to go to the hospital by ambulance. Once at the Emergency Department (ED), the ED physician orders the following items. Which are questionable related to her condition and which are appropriate? Why?
a. 1000 ml Lactated Ringer’s (LR) IV stat
b. 36 units NPH (Humulin N) and 20 units regular (Humulin R) insulin SQ now
c. CBC with differential; CMP: blood cultures X2 sites; clean-catch urine for UA and C&S; stool for ova and parasites; Clostridium difficile toxin, and C&S; serum lactate; ketone; osmolality; ABGs on room air
d. 1800 calorie, carbohydrate controlled diet
e. Bed rest
f. Acetaminophen (Tylenol) 650 mg orally Q4 hrs PRN
g. Furosemide (Lasix) 60 mg IV push now
h. Urinary output every hour
i. VS every shift
5. What are the expected treatments for this condition?
6. Which questions were answered by each student in your group?
Kindly order now for a custom-written, completely unique essay paper that is free of plagiarism! on Diabetes case study of A 21-year old female A.M. Essay Assignment Paper from Best Nursing Writers
