CASE STUDY IN ENDOCRINE - DIABETESMANAGEMENT "A 25 year old female...

Question Answered step-by-step CASE STUDY IN ENDOCRINE – DIABETESMANAGEMENT “A 25 year old female… CASE STUDY IN ENDOCRINE – DIABETESMANAGEMENT “A 25 year old female comes to the emergency room complaining of polydipsia, polyphagia, and polyuria.” You are the Triage Nurse today. You continue taking a History and Physical and she also report symptoms of lightheadedness and dizziness for the last two days and headaches. She has in the recent past seen “floating objects” in her eyes. She said she is most concerned about the continued headaches, nausea and multiple trips to the bathroom. She also is constantly drinking water and sodas to try and relieve her thirst.?PHYSICAL EXAM: Temp 98, pulse 90, respiration rate 20 and Blood pressure id 150/80??General: A slightly thin female who appears to be in some distress. SKIN: pale with increased skin turgor; Cardiac: grade II/VI systolic ejection murmur. Lungs: Clear bilaterally. ?LABORATORY Findings: CBC – normal; Electrolytes – hyponatremia, hypochloremia, glucose -500Hemoglobin A1C – 10%; Thyroid function test – with in normal limits; 1) What immediate concerns do you have about this patient? 2) What diagnosis would you consider given her age and presentation? 3) What would make you consider Diabetes and distinguish between the two types? 4) What does her lab values tell you about her glycemic control?5) To gain immediate control of her Blood Glucose, tell me what medications are needed to get her to a normal BS immediately? After she is under control, what regimen would you like to see and how would you educate this patient on methods to control and maintain a healthy lifestyle. 6) When you choose a drug regimen for her, what are the indications, side effects, and contraindications of the drugs you chose? 7) What are the clinical manifestations of diabetes in this patient? 8) What end organ damage would you be concerned about long term? 9) List a step by step process you would present to the patient if she is on an injectable insulin regimen. Discuss refrigeration, preparation of injection to include preparing the syringe, injection site preparation and how to store insulin. 10) The patient is a dancer. Talk to her about how to make adjustments in her insulin regimen when changes in level of activity occurs. Health Science Science Nursing NSG 3032 Share QuestionEmailCopy link Comments (0)