Diabetes type 1 case study answers. Case Study On Diabetes type 1 case study
Ketones are toxic and if the young man does not receive insulin in the next couple of hours his condition will deteriorate quickly and he could become very nauseated or vomit. High levels of ketones can cause the individual to become acidotic so his breathing could become laboured and he could go into coma. Uncontrolled diabetes can also result in a delayed onset of puberty and skeletal maturation Silverstein et al.
Option 1: Survival skills education involves providing enough information and support for Jade soal essay sosiologi perubahan sosial her family to manage safely at home following discharge Queensland Health ; see Chapter 9. The doctor is on visits and will be back soon, and the practice nurse is doing the baby vaccine clinic so is really busy.
He tells you that over the past couple of weeks he has been really thirsty and has lost over a stone in weight. He comes into the surgery without having booked an appointment and asks to see the doctor or practice nurse because he is feeling unwell.
Pediatric Diabetes 7: You decide to do a urine test in case his frequency of micturition is due to a urine infection. Therefore, the child is at increased risk of severe hyperglycemia and DKA.
An ulcer formed and persisted. On the whole they generally last around months.
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He will be unable to maintain his fluid balance so will become extremely dehydrated What should do you do next? Arterial blood gases indicate that she is ketonic but not in DKA and she was admitted to a medical ward for stabilization….
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Ketones can show which form of diabetes the patient has The correct answer is Option 1. Diabetes educator It appears Jade has type 1 diabetes. Young children require families to provide diabetes management and teenagers should not be expected to undertake all their care independently.
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That is, she will still be producing her own insulin for possibly the next 6 months and, therefore, require only a small dose of exogenous insulin. Often a diagnosis of diabetes at this time for the teenager and their family is characterized by confusion, fear, anger, denial, and disbelief.
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Factors contributing to Type 2 Diabetes Mellitus. He is a little flushed, looks very skinny and says he is a little breathless. He needs to be given glucose immediately and told to rest. New England Journal of Medicine Researchers have identified a correlation between the rates of depression and high HbA1c levels Hood et al.
He reports that he has been on insulin since the time of his diagnosis, and he has never been prescribed oral agents for diabetes management. An understanding and ability for Jade and her family to perform basic activities around these areas are imperative before discharge.
When asked about meal doses of insulin aspart, the patient relates that he is currently homeless and eats when food is available, often snacking on bits of food throughout the day. Next Week: Browse hundreds of Biology tutors.
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Diabetes Care 27 1: Following intravenous rehydration and correcting the blood glucose levels using an insulin infusion, education on subcutaneous insulin should begin. Why was it necessary in this case, to remove the cast and replace it each week? The young man will need to be given insulin as soon as possible and may need to be admitted to hospital as an emergency for intravenous insulin and intravenous fluids to correct the acidosis and dehydration.
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At that time, he was overweight, enjoyed foods with high car bohydrate and fat content, and led a sedentary life. He agrees so you do a quality control test on the meter first as you know it should be checked on a homework traducere basis.
Ketones show that the patient is not following the correct diet and he should be given advice about how to correct this Option 3: He was not using a meal dose of insulin aspart, but he would use this insulin to correct for hyperglycemia. It is important to find the balance between what the patient and family needs to know to get them out of hospital and manage the diabetes over the next few weeks.
Blood glucose meters are available free of charge to children with type 1 diabetes in Australia. The correct answer is Option 2.
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