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. If a finger-prick test for capillary blood seems too invasive and painful in a child, the heel may be an easier place to test from. She had a mild head injury six months before, with no further consequences. 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 insulin therapy protocol used with Anya consists of three insulin injections a day. Which immunizations should be administered?
There was no current medication or allergy history. If a finger-prick test for capillary blood seems too invasive and painful in a child, the heel may be an easier place to test from. Management of care is a collaboration between members of an interdisciplinary team. Which insulin regimen would Anya use at bedtime? According to Erickson, in what stage of development is Anya? The mother of a five-year old child called the surgery at 5pm with concerns about her daughter’s one-day history of abdominal discomfort, requesting a same day review. 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 out in the last three days.
The mother and the girl had to wait about 40 minutes in the waiting area before they could come in. Parents confess they are hesl given the injections for fear of harming Anya.
Which insulin regimen would Anya use at bedtime? What nursing action provides the most complete health profile for this family?
Hesi Case Study Gestational Diabetes Answers
Register now to enjoy more articles and free email bulletins Register Already registered? What element is essential to consider when teaching to Anya?
Based on these complaints, what nursing diagnosis has the highest priority? What nursing intervention has the highest priority at this time? There was no current medication or allergy history.
HESI case study – Pediatrics – Diabetes Type I (Anya)
Which assessment findings are of concern to the nurse? Systemic rehydration, however, should be done gradually and carefully to prevent possible complications, yype as cerebral or pulmonary oedema. 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. Management of care is a collaboration between members of an interdisciplinary team.
GPs in line for seniority pay windfall worth thousands of pounds Hundreds of GPs could be in line for thousands of pounds in extra seniority pay after What is the best explanation by the nurse? There is a destruction of pancreatic cells, which causes a decrease in insulin production.
Case study: Type 1 diabetes in a child | GPonline
An apparently minor illness had a serious cause. When establishing the nursing plan of care, what is the most significant potential problem related to this new diagnosis? There was little medical history – the child was born at term, developed well, was up answerx date with all vaccinations, had had chickenpox and a few reviews for minor illnesses.
What elements are implemented by the interdisciplinary team?
Which immunizations should be administered? When evaluating the effectiveness of parental education, what results demonstrate diabetse understanding of the care of a child with diabetes?
When providing care for Anya, which 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 answfrs or fatigue, and there are published case reports of other atypical first presentations, including hemiparesis, severe partial seizures, hemiballismus, pretibial numbness or intractable hiccups.
The child was apparently sick once more during this time but, once seen, looked well, smiled and did not appear clinically dehydrated or in distress. Which assessment findings are anwwers with this diagnosis? It was only at this point the mother mentioned her worry about possible diabetes.
She was apyrexial, the abdomen felt soft and did not dase any specific tenderness, guarding or rebound, and the bowel sounds were normal. Considering the potential problem of hypoglycemia, what nursing intervention has the highest priority? What can primary care networks learn from past service reorganisations?
Hesi Case Study Gestational Diabetes Answers
The mother of a five-year old child called the surgery at 5pm with concerns about her daughter’s one-day history of abdominal discomfort, requesting a same day review. The majority of children appear to develop it under 12 years of age, but it may start in adults as well.
The diagnosis of type 1 diabetes in children can become obvious by a positive dipstick test — although some sticks may not show glucose reliably in the presence of significant ketones. If a finger-prick test for capillary blood seems too invasive and painful in a diabees, the heel may be an easier place to test from.
Related Drug Categories Insulins.