Type 1 diabetes also referred to as T1DM is a form of diabetes that results from the autoimmune destruction of the insulin producing beta cells in the pancreas. It is usually diagnosed in children and young adults. The body doesn’t produce insulin in type 1 diabetes and insulin is needed for the person affected to have energy needed for everyday life. The body has trouble breaking down sugar in the blood.…
PAST MEDICAL HISTORY: Pre-op blood glucose was noted to be greater than 200. The patent asked for a medicine consult/admission for further evaluation. Currently he denies chest pain and shortness of breath. No dysuria, or increased urinary frequency. Past history is significant for hearing loss in the right ear subsequent to an assault several years ago.…
Beth is a 65 year old woman of African American heritage. She was admitted to the ER, 2 days ago with a serum blood sugar of 457. She states she is unaware that she has diabetes and this is a new diagnosis for her. Her daughter states this is not true, that her mother was diagnosed with “some sort of blood sugar problem” 2 years ago, but her mother did not follow up with her doctor. Beth c/o visual blurriness, thirst and frequent urination. She has snacks hidden in her bedside table because she is “always hungry.” She has been placed on oral medication, Metformin 500 mg BID and is currently on a corrective insulin regime utilizing Novolog insulin. Her blood sugar is still not stabilized, often in the 200’s. In addition, Beth has 2 black spots on her first and second toes of her left foot, has uncontrolled hypertension, an elevated Blood Urea Nitrogen (BUN) and Creatinine (Cr). VS: B/P 190/88, R 98.7°F, P 87, RR 22.…
Patient X has previous history of hypertension and MI, with no family history of diabetes mellitus. Social history revealed sedentary lifestyle and alcoholism related to recent job loss. He smokes but does not take recreational drugs.…
and a random plasma glucose is 291 mg/dL. The primary care provider suspects that Y.L. has developed…
Today‘s case study is about a 10 year-old girl named Hannah. Hannah is a 4th grader at Hendricks Elementary. Hannah has recently been diagnosed with Type 1 Diabetes Mellitus. Type 1 diabetes in children is a condition in which your child's pancreas no longer produces the insulin your child needs to survive, and you'll need to replace the missing insulin. Type 1 diabetes in children used to be known as juvenile diabetes or insulin-dependent diabetes.…
PHYSICAL EXAMINATION: VITAL SIGNS: Afebrile, blood pressure 155/98, heart rate 69. GENERAL: He is in no acute distress, alert and oriented x4. HEENT: mucous membranes moist no facial asymmetry. Left ear WNL, right ear with profound hearing loss. LUNGS: Clear to oscultation and percussion bilaterally, CV normal, S-1 S-2 without murmurs or rubs. GI: Soft, non-tender, non-distended no HSM. Positive bowel sounds. GENITALIA: deferred. EXTREMETIES: No edema. Has been admitted for left ankle surgery. UROLOGIC: Intact with the exception of cranial nerve ink on the right. LABS: CVC within normal range. Pre-op glucose 239, BUN 8, creatinine 0.5.…
I have not had a chance to meet the patient again after the first encounter. However, in the next appointment, I will take a look at the CGBM monitoring sheet that was provided to her. It will allow me to see with the patient if the interventions have worked and to see if she is able to maintain her GD under control. The sheet also indicates whether she took her insulin dose regularly or not. Given that she was truthful in her results and omissions the previous visit, it is fair to believe that the results indicated on paper could be…
The patient has well controlled Type 2 Diabetes. 2. At the beginning of this appointment the patients ASA classification would have been an ASA 2. 3. The patient is experiencing Hypoglycemia symptoms, due to a drop in her glucose levels. This emergency could have been avoided had she eaten before her appointment in combination with blood glucose monitoring.…
Choose a patient from clinical practice with ONE nursing problem related to their diagnosis. After your introduction, describe the patient age, sociological factors, and medical diagnosis.…
Diabetes is a term that covers several conditions that relate to a person's ability to process sugar. The two most common conditions are called Type 1 and Type 2. Both of these conditions have similarities, but they also have great differences.…
Most of the extreme symptoms he exhibited on admission had mostly been resolved. He did however still have moderate edema in his lower extremities. His lungs sounds were also drastically improved although they were slightly decreased with coarse crackles in the bases. He complained of shortness of breath. His oxygen saturation was 95% on 2 liters oxygen via nasal cannula. The patient complained of exertional fatigue and dizziness upon sitting up. He had full sensation in his upper extremities, but some numbness in his feet due to long standing diabetic neuropathy. He was alert and oriented to time, place, person. Pupils were equal and reactive to light and accommodated. Bowel sounds were present in all four quadrants. His abdomen was slightly distended, and he complained of a loss of appetite. He stated he was having mild myalgia but within his pain comfort goal of 3/10. Peripheral pulses were strong in upper extremities with thready pedal pulses bilaterally. Capillary refill was appropriate in all extremities. He has normal heart sounds with a systolic murmur. Vital signs taken by the PCT were reported as: BP 107/56, HR 75, RR 16, Temp 36.9C, SaO2 90% 2L O2 via nasal…
Diabetes Mellitus is a metabolic disease that occurs when a body is unable to produce insulin, is unable to adequately use the insulin produced, or is unable to produce enough insulin for what the body needs, and therefore results in a body not being able to process sugars properly. There are two main types of diabetes. Type 1 is where the body does not produce any insulin and so the person is dependent on taking insulin shots to survive. Type 2 is where the body can produce insulin but may not be able to produce enough to meet the needs of the body or the body is not properly using the insulin so the person has high blood sugars. Living a healthy lifestyle can decrease your chance at getting Type 2 diabetes (Milchovich, S. K., & Dunn-Long,…
The patient is a 61 year old female. The patient is complaining that they feel weak, their urine is dark, nausea, and they have Jaundice.…
According to the National Diabetes Statistics Report for 2014 published by the Centers for Disease Control and Prevention, approximately 21 million Americans of all ages have been diagnosed with diabetes as of 2012. This number only includes those who have been diagnosed by a medical professional and from this population; almost 95% of diagnosed adults have Type II diabetes. The difference between Type I and Type II diabetes is that Type I often times affects children who’s cells fail to produce insulin, which is important in the regulation of blood glucose. With Type II diabetes patients are insulin resistance, meaning that the cells in the liver, muscle, and fat are unable to produce enough insulin to regulate blood glucose…