HLTEN611B – Apply Principles of Diabetic Nursing Care Assessment 1 – Case Study James is 18 years of age and has just presented (with his parents) to his GP with a 2 week history of extreme fatigue‚ polyuria‚ polydipsia‚ and weight loss. His random BGL is 41mmol/l and his blood ketones show 3.2mmol/l. His GP has diagnosed Type 1 diabetes with DKA and has sent him to the emergency department to see an endocrinologist at your public hospital‚ St Health Skills. The endocrinologist has decided on
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Hypoglycaemia When do hypos occur? Hypoglycaemia (or a ‘hypo’) occurs when the level of glucose in the blood falls too low‚ usually under 4 mmol/l. People with diabetes who take insulin and/or certain diabetes tablets are at risk of having a hypo. A hypo may occur if you have taken too much diabetes medication‚ delayed or missed a meal or snack‚ not eaten enough carbohydrate‚ taken part in unplanned or more strenuous exercise than usual‚ and have been drinking alcohol without food. Sometimes
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recommended as long she does not have to give all of her regular foods. Patient/ Family Centered Goals 1. Patient & family will be able to identify the S/S of hypoglycemia‚ hyperglycemia‚ & ketoacidosis 2. Patient & family will be able to explain how to administer insulin using proper technique 3. Patient & family will understand the importance of maintaining a proper diet 4. Patient & family will understand the precautions needed when it comes to proper foot
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autoimmune disease that causes the insulin producing beta cells in the pancreas to be destroyed‚ preventing the body from being able to produce enough insulin to adequately regulate blood glucose levels. Type 1 diabetes may sometimes be referred to as juvenile diabetes‚ because it is commonly diagnosed in children and the condition can develop at any age. Insulin dependent diabetes is another term used to describe type 1 diabetes. Since type 1 diabetes causes the loss of insulin production‚ it therefore requires
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Child bone fracture From Wikipedia‚ the free encyclopedia A child bone fracture is a medical condition in which a bone of a child (a person younger than the age of 18) is cracked or broken.[1]About 15% of all injuries in children are fracture injuries.[2] Bone fractures in children are different than adult bone fractures because a child’s bones are still growing. Also‚ more consideration needs to be taken when a child fractures a bone since it will affect the child in his or her growth[3] How
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Gastro/GI Interventions for GERD = low fat‚ no etoh‚ milk‚ tabacco‚ peppermint‚ carb beverage‚ avoid eating 2hours before bed‚ no tight clothes‚ elevate HOB. Meds are h2 antagonists famotidine (Pepcid)‚ nizatidine (Axid) or ranitidine. Proton Pump inhibtor: - decrease gastric acid – Prevacid‚ Pilosec (omeprazole) Prokinetic agents: accelerate Gastric emptying – i.e Reglan BMI = kg/ height ^2 or lbs x 703/height^2 Stoma assessment = check size‚ color‚ drainage‚ skin‚ should be shiny‚ moist
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Diabetes mellitus is a group of metabolic disorders characterized by elevated levels of blood glucose (hyperglycemia) resulting from defects in insulin production and secretion‚ decreased cellular response to insulin‚ or both. This leads to hyperglycemia‚ which may lead to acute metabolic complications‚ such as diabetic ketoacidosis (DKA) and hyperglycemic hyperosmolar nonketotic syndrome (HHNS). Longterm hyperglycemia may contribute to chronic microvascular complications (kidney and eye disease)
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Diabetes can be the result of many things from unlucky genetics to an unhealthy lifestyle. Diabetes is a serious‚ life-long illness ultimately caused by high levels of glucose in the blood. The condition makes it so that the pancreas cannot produce insulin. Insulin is a hormone that controls the blood’s glucose level. Glucose is significant since it is “the main source of fuel” for the body (Wilson‚ 2013). The American Diabetes Association found that in 2011 in the United States‚ 25.8 million children and
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of Langerhans are Insulin and Glucagon‚ these can be found within the pancreas. Insulin reduces the levels of blood glucose in the body. When high levels of glucose are present in the blood‚ this stimulates the release of insulin from the beta cells. Whereas glucagon acts as an antagonist of insulin and raises the level of blood glucose in the body‚ glucagon is released by the alpha cells stimulated by the low levels of glucose (Farrell‚ M and Dempsey‚ J 2011 p‚ 1222). Insulin is an anabolic‚ or
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unaware that they have this diagnosis (ESC Guidelines‚ 2011). Diabetes Mellitus is a chronic medical condition that stems from the body’s inability to sufficiently produce or properly use insulin‚ a hormone that is necessary for the appropriate use of glucose as a source of energy for the body. Without insulin‚ glucose cannot enter cells in the peripheral tissue and becomes trapped in the bloodstream‚ leading to elevated blood glucose levels or hyperglycemia. Over time‚ chronic hyperglycemia can
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