Diabetes Case Study – A 21-year old female (A.M.)

Diabetes Case Study

Using the case study below, prepare a 2 – 3-page paper.

A 21-year old female (A.M.) presents to the urgent care clinic with symptoms of nausea, vomiting, diarrhea, and a fever for 3 days. She states that she has Type I diabetes and has not been managing her blood sugars since she’s been ill and unable to keep any food down. She’s only tolerated sips of water and juices. Since she’s also been unable to eat, she hasn’t taken any insulin as directed. While helping A.M. from the lobby to the examining room you note that she’s unsteady, her skin is warm and flushed, and that she’s drowsy. You also note that she’s breathing rapidly and smell a slight sweet/fruity odor. A.M. has a challenge answering questions but keeps asking for water to drink.

You get more information from A.M. and learn the following:

· She had some readings on her glucometer which were reading ‘high’

· She vomits almost every time she takes in fluid

· She hasn’t voided for a day but voided a great deal the day before

· She’s been sleeping long hours and finally woke up this morning and decided to seek care

 

Vital Sign

Temperature	101.3° F (tympanic)
Blood pressure	88/46 mmHg
Heart rate	132 beats/minute
Respiratory rate	36 breaths/min, deep
Oxygen saturation % (SpO2)	91% on room air

 

Lab results

Serum glucose	657 mg/dl
Serum potassium	6.2 mEq/L
Urine ketones	Positive

1. What is the disorder and its pathophysiology that you expect the health care provider to diagnose and treat?

2. Describe the etiology of the disorder A.M is experiencing.

3. Identify and describe the clinical manifestations of the disorder A.M. is experiencing.

4. Identify and describe the expected treatment options for A.M. based on the disorder and clinical manifestations.

Instructions:

Summarize the questions above and formulate what may be happening with A.M. and how you would improve her condition.

Use at least one scholarly source to support your findings. Examples of scholarly sources include academic journals, textbooks, reference texts, and CINAHL nursing guides. Be sure to cite your sources in-text and on a References page using APA format.

I do not accept information obtained from web sites , as these sites have not been vetted or peer reviewed.

You can find useful reference materials for this assignment in the School of Nursing guide:  https://guides.rasmussen.edu/nursing/referenceebooks

Have questions about APA? Visit the online APA guide:  https://guides.rasmussen.edu/apa

Case study adapted from:

Harding, M.M. & Snyder, J.S. (2015). Winningham’s critical thinking cases in nursing: Medical-surgical, pediatric, maternity, and psychiatric. Retrieved from: https://ebookcentral.proquest.com/lib/ras/detail.action?docID=2072336.

Explanation & Answer

Our website has a team of professional writers who can help you write any of your homework. They will write your papers from scratch. We also have a team of editors just to make sure all papers are of HIGH QUALITY & PLAGIARISM FREE. To make an Order you only need to click Order Now and we will direct you to our Order Page at Litessays. Then fill Our Order Form with all your assignment instructions. Select your deadline and pay for your paper. You will get it few hours before your set deadline.