Skyler Hansen is an 18-year-old male diagnosed with type 1 diabetes 6 months ago. He was brought to the Emergency Department by his friends. The friends report that he started acting â€œweirdâ€ while they were playing basketball. He has not eaten anything for 5 hours. Skyler told them that he felt lightheaded and was going to lie down on the cement. They became nervous and decided to bring him in to the Emergency Department. The patient is drowsy, wakes with stimulus, has slurred speech, is diaphoretic, and is acting irrationally.
TEXT BOOK AND CHAPTER
Medical-Surgical Nursing Care
Brunner & Suddarth’s Textbook of Medical-Surgical Nursing, 14th Edition
Diabetes, Chapter 51, pp. 1457-1481
Complications of Diabetes, Chapter 51, pp. 1481-1500
Virtual Simulation #4 â€“ Pathology Questions
Medical Scenario 5: Skyler Hansen Pathology Questions
Apply your knowledge of the pathology(ies) R/T Skyler Hansen
Include the following aspects in the Assignment:
In addition to the text, find an outside resource less than 1-2 years old
Answer each question thoroughly, any references used are to be included
Pathology descriptions should be detailed and include some cellular level changes
1. Describe the initial pathology
2. What S/S did you assess for that supported the initial pathology? S/S in the scenario are increased heart rate and respiration, lungs obstruction, diaphoresis, altered mental status,02 sat of 76%,respiratory distress
3. How did the pathology present in this scenario?
4. Describe the effect of the providers orders on the pathology.
5. In this pathology nurses rely heavily on lab and ECGs. Describe the pathology aspects that underpin these diagnostics.
6. How did the treatment/medications for the primary pathology affect it?
7. A Risk For would be acute coronary syndrome (MI). What S/S would you assess that would support this secondary pathology?
8. What potential secondary pathologies could occur from the treatment/medications given?
Providers’ order: cardiac monitoring, vital signs every 5mins, oxygen to maintain Spo2 greater 92%, finger sticks STAT and PRN, Basic metabolic panel, obtain IV access, MEDS: 1 amp (50ml) dextrose 50% in water slow IV push, glucagon 1mg IM if unable to obtain IV access. Pt’s blood sugar is 44mg/dl