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
Premium Diabetes mellitus Insulin Diabetes mellitus type 1
Serum K normal: elevated with acidosis‚ Low following dehydration BUN >20 mg/dl elevated because of dehydration Creatinine >1.5 mg/dl; elevated because of dehydration Urine Ketones Positive Diabetic Ketoacidosis Patho: a. Diabetic ketoacidosis is a life-threatening complication of type 1 diabetes mellitus that develops When a severe insulin deficiency occurs: b. The clinical manifestation’s include hyperglycemia‚ dehydration‚ ketosis‚ and acidosis. 3. Interventions:
Premium Diabetes mellitus
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
Premium Diabetes mellitus Hypertension Blood sugar
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) and neuropahtic complications. Diabetes is also associated with an increased
Premium Diabetes mellitus Diabetes Insulin
In America‚ Diabetes is becoming a widely prominent disease. 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
Premium Diabetes mellitus Insulin Diabetes
to fight infections. Diabetics must be careful when they suffer from a small cut or bruise and must be attended to immediately. Marieb‚ E (2000 p‚ 326) also states that this is because when large amounts of fats are being used for energy instead of sugars‚ the blood becomes very acidic (Acidosis)‚ as ketones appear in the blood. The onset of type 1 diabetes mellitus may also be associated with sudden weight loss or nausea‚ vomiting or abdominal pains‚ if Diabetic Ketoacidosis (DKA) is present. Although
Premium Diabetes mellitus Insulin Diabetes mellitus type 1
caused by blood sugar levels rising above the normal range. Earlier symptoms of Type 1 diabetes include frequent urination‚ extreme thirst and dry mouth‚ weight loss and increased hunger. If not diagnosed quickly a person can experience diabetic ketoacidosis‚ which can be life
Premium Diabetes mellitus Insulin
Baccalaureate Nurses vs. Associate Nurses October 20‚ 2013 Baccalaureate Nurses vs. Associate Nurses Is having a Baccalaureate Degree in Nursing (BSN) better than an Associate Degree in Nursing (ADN)? Why should nurses get a BSN? Many nurses ask themselves these questions. Hospitals are pushing for nurses to advance their education. If there is an ADN nurse and BSN nurse applying for the same position most likely the BSN nurse will receive the job before the ADN nurse because “ the additional
Premium Nursing Health care Medicine
steroid diabetes induced by high doses of glucocorticoids‚ and several forms of monogenic diabetes. Untreated‚ diabetes can cause many complications. Acute complications include diabetic ketoacidosis and nonketotic hyperosmolar coma. Serious long-term complications include cardiovascular disease‚ chronic renal failure‚ and diabetic retinopathy (retinal damage). Adequate treatment of diabetes is thus important‚ as well as blood pressure control and lifestyle factors such as stopping smoking and maintaining
Free Insulin Diabetes mellitus
Diabetes Awareness Kimberlee Williams HCS: 412 Health Promotion Planning & Evaluation Instructor: Orazie Slayton October 27‚ 2014 The PRECEDE-PROCEED model is a comprehensive structure that helps health program planners‚ policy makers‚ and evaluators analyze situations and design an efficient health promotion and public health program. The model is composed altogether of nine phases (http://ctb.ku.edu/). The first stage in the program planning phase deals with identifying and
Premium Diabetes mellitus Insulin