DESCRIBE DISEASE PROCESS AFFECTING PATIENT
(INCLUDE PATHOPHYSIOLOGY OF DISEASE PROCESS)
DIAGNOSTIC TESTS
(REASON FOR TEST AND RESULTS)
PATIENT
... [Show More] INFORMATION ANTICIPATED PHYSICAL
FINDINGS
ANTICIPATED NURSING INTERVENTIONS
Insulin is a hormone secreted by beta cells, which are one of four types of cells in the islets of Langerhans in
the pancreas. Insulin is an anabolic, or storage, hormone. When a person eats a meal, insulin secretion
increases and moves glucose from the blood into muscle, liver, and fat cells. In those cells, insulin transports
and metabolizes glucose for energy stimulates storage of glucose in the liver and muscle signals the liver to
stop the release of glucose, enhances storage of dietary fat in adipose tissue, accelerates transport of amino
acids into cells, inhibits the breakdown of stored glucose, protein, and fat.
Diabetes Type 1: It is characterized by the destruction of the pancreatic beta cells.
Diabetes Type 2: It is insulin resistance and impaired insulin secretion. Insulin resistance refers to a
decreased tissue sensitivity to insulin.
Fatigue and weakness, sudden
vision changes, tingling or
numbness in hands or feet, dry
skin, skin lesions or wounds that
are slow to heal, and recurrent
infections. The onset of type 1
diabetes may also be associated
with sudden weight loss or
nausea, vomiting, or abdominal
pains, if DKA has developed.
Skyler Hansen is an 18-
year-old male, diagnosed
with Type 1 Diabetes 6
months ago. He was
brought to the ER by his
friends, the patient has not
eaten over 5 hours and is
drowsy, wakes with
stimulus, has slurred
speech, is diaphoretic, and
is acting irrationally.
Fasting Blood Glucose (blood glucose
determination obtained in the
laboratory after fasting for at least 8
hours), random plasma glucose, and
glucose level 2 hours after receiving
glucose (2-hour post load) may be
used. HgbA1C (A1C), Fasting lipid
profile, Test for microalbuminuria,
Serum, creatinine level, Urinalysis,
Electrocardiogram.
An abnormally high blood glucose
level is the basic criterion for the
diagnosis of diabetes.
- Administer prescribed medications on time
- Provide glucose checks before meals
- Offer a snack to patient after administering insulin to avoid hypoglycemia
- Asses patient LOC to make sure they don’t go into DKA
vSim ISBAR ACTIVITY STUDENT WORKSHEET
INTRODUCTION Vanessa Forrest, RN, Emergency Department
Your name, position (RN), unit you are
working on
SITUATION Skyler Hansen, 18 year-old-male, was brought to the Emergency
Department by his friends because he started acting “weird” while they
were playing basketball, they also stated he had not eaten anything for
5 hours.
Patient’s name, age, specific reason for visit
BACKGROUND Primary: Type 1 Diabetes (diagnosed 6 months ago)
Date of Admission: 4/16/2020
Current Orders:
-The patient has 1-amp (50ml) Dextrose 50% in water IV push slowly.
-For BS less than 70 after given then another dose can be repeated. -A
BMP was ordered, and fingerstick glucose monitoring PRN.
Patient’s primary diagnosis, date of
admission, current orders for patient
ASSESSMENT The patient is drowsy, wakes with stimulus, has slurred speech, is
diaphoretic, and is acting irrationally. The patients’ blood sugar is
58mg/dL. The patient is not AAO x 3, he is very unoriented.
Vital signs
BP: 128/76,
HR:93,
RR: 19,
O2: 96%,
T: 99F, his skin is clean and intact but very sweaty to touch
Current pertinent assessment data using head
to toe approach, pertinent diagnostics, vital
signs
RECOMMENDATION The patient should be under continuous observation, to continue
to monitor his blood glucose level to avoid hyper or hypoglycemia.
Avoid the patient having to experience rebound hypertension if too
much dextrose is given to him. [Show Less]