Management of care is a collaboration between members of an interdisciplinary team. An apparently minor illness had a serious cause. Register now to enjoy more articles and free email bulletins Register Already registered? However, if she had declared her concern more clearly and promptly on the phone, the priority to review would have been different, and asking for a urine sample before arrival could have been useful. There was little medical history – the child was born at term, developed well, was up to date with all vaccinations, had had chickenpox and a few reviews for minor illnesses.
An apparently minor illness had a serious cause. Which insulin regimen would Anya use at bedtime? Parents confess they are uncomfortable given the injections for fear of harming Anya. The precise reason for the likely autoimmune triggered condition is still in parts unclear, but, observational studies suggest possible associations to infections rubella, coxsackie virus and early exposure to cow’s milk protein. There was no apparent fever, diarrhoea, rash, pain elsewhere, photophobia or altered behaviour, or dysuria, and some simple painkillers had made very little difference.
What can primary care networks learn from past service reorganisations? There was no apparent fever, diarrhoea, rash, pain elsewhere, photophobia or altered behaviour, or dysuria, and some simple painkillers had made very little difference. Abdominal pain and nausea are common in DKA due to the increasing metabolic acidosis, but could, in the early stages, be mistaken as symptoms of gastroenteritis. What elements are implemented by the interdisciplinary team?
Which immunizations should be administered? Casee Drug Categories Insulins. What nursing intervention has the highest priority at this time? It was only at this point the mother mentioned her worry about possible diabetes.
Obviously, all newly-diagnosed cases of type 1 diabetes require immediate specialist management and the start of insulin replacement therapy. Have you registered with us yet?
Considering the potential problem of hypoglycemia, what nursing intervention has the highest priority? Apart from the classic triad of polydipsia, polyuria and weight loss despite polyphagiaother symptoms of new-onset type 1 diabetes can less specific, such as nausea or fatigue, and there are published case reports of other atypical first presentations, including hemiparesis, severe partial seizures, hemiballismus, pretibial numbness or intractable hiccups.
Hesi Case Study Gestational Diabetes Answers
The girl had managed to spend the day in school but seemed to have worsened since coming home and had been sick once or twice. She was apyrexial, the abdomen felt soft and did not reveal any specific tenderness, guarding or rebound, and the bowel sounds were normal.
She had a mild head injury six months before, with no further sstudy. What element is essential to consider when teaching to Anya?
Hesi Case Study Gestational Diabetes Answers
What approach to care is the most indicative to Anya and her parents? What is the best explanation by the nurse? The child was apparently sick once more during this time but, once seen, looked well, smiled and did not stkdy clinically dehydrated or in distress.
When evaluating the effectiveness of parental education, what results demonstrate an understanding of the care of a child with diabetes?
GPs in line for seniority pay windfall worth thousands of pounds Hundreds answes GPs could be in line for thousands of pounds in extra seniority pay after What nursing action provides the most complete health profile for this family?
HESI case study – Pediatrics – Diabetes Type I (Anya) | Get Access To Unique Paper
Which insulin regimen would Anya use at bedtime? What is the most appropriate answer from the nurse?
An apparently minor illness had a serious cause. There was no current medication or allergy history. It could have been tempting to defer this presentation as simple, common, minor illness, but the persistence of the mother revealed the serious underlying problem.
Case study: Type 1 diabetes in a child
Systemic rehydration, however, should be done gradually and carefully to prevent possible complications, such as cerebral or pulmonary oedema. No other family member was currently unwell with any gastrointestinal conditions and there were no travels abroad recently, and no obvious unusual food intake such as a take-away or eating anewers in the last three days.
Anya told her parents she has headaches and often feels dizzy. The mother and the girl had to wait about 40 minutes in the waiting area before they could come in.
The mother was aware that the child would need to be seen as an extra at the end of surgery, but preferred this over telephone advice or a possible review at the out-of-hours service later in the evening, if the symptoms were to persist or worsen.
The nurse must aim her teaching towards Anya and her parents. There was little medical history – the child was born at term, developed well, was up to date with all vaccinations, had had chickenpox and a few reviews for minor illnesses.
When establishing the nursing plan of care, what is the most significant potential problem related to this new diagnosis?