Diabetes Mellitus Case Study (45 min)

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Study Tools For Diabetes Mellitus Case Study (45 min)

Symptoms of Diabetes Mellitus (Image)
Diabetes Mellitus Type 1- Signs & Symptoms (Mnemonic)
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Outline

Miss Matthews is a 16-year-old female who is brought to the emergency department after collapsing at school. She is currently alert, but pale and weak. A blood glucose performed by the paramedics read meter Max or high.

Critical Thinking Check
Bloom's Taxonomy: Application

What additional nursing assessments should be performed at this time?

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Critical Thinking Check
Bloom's Taxonomy: Application

What history questions would you like to ask of the patient and/or her parents?

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Upon further questioning, the parents report that their daughter has been weak a lot lately. Miss Matthews reports but she’s always hot and exhausted. She reports a 10-pound weight loss over the last 2 months despite eating all the time and agrees that she has been thirsty and peeing a lot.

The nurse notes Kussmaul respirations and fruity breath.

Critical Thinking Check
Bloom's Taxonomy: Analysis

What diagnostic tests should be run for Miss Matthews?

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A serum glucose revealed that Miss Matthews’ blood glucose is 523 mg/dL, and her urine was positive for ketones.   The provider explains that she is likely a diabetic. Her parents are shocked as she has always been a healthy and athletic child.  The parents ask the nurse “ How can she be diabetic when she is so skinny and exercises all the time?

Critical Thinking Check
Bloom's Taxonomy: Comprehension

What is an appropriate response by the nurse?

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Critical Thinking Check
Bloom's Taxonomy: Analysis

What treatments do you expect to be ordered for Miss Matthews at this time?

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Miss Matthews is treated for diabetic ketoacidosis over the next 2 days and is now feeling much better. The diabetic nurse educator comes by to teach Miss Matthews how to self-administer SubQ insulin using an insulin pen. Miss Matthews says “I  can’t stand needles, isn’t there a pill I can take instead?”

Critical Thinking Check
Bloom's Taxonomy: Comprehension

What is the most appropriate response by the nurse?

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Critical Thinking Check
Bloom's Taxonomy: Comprehension

What options does Miss Matthews have for insulin administration?

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Miss Matthews is able to demonstrate proper technique for glucose monitoring and self-administration of insulin with the insulin pen. Her blood glucose levels are stable between 140 and 180 mg/dL,  and the provider has said that she could go home today.

Critical Thinking Check
Bloom's Taxonomy: Application

In addition to the insulin education, she has already received, what other education topics should be included in discharge teaching for Miss Matthews?

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DRN 201, Week 9

Concepts Covered:

  • Disorders of Pancreas
  • Endocrine
  • Renal
  • Newborn Care
  • Renal Disorders
  • Pregnancy Risks
  • Medication Administration
  • Respiratory Disorders
  • Female Reproductive Disorders
  • Male Reproductive Disorders
  • Integumentary Disorders
  • Musculoskeletal Trauma
  • Urinary System
  • Immunological Disorders
  • Acute & Chronic Renal Disorders
  • Emergency Care of the Neurological Patient

Study Plan Lessons

03.04 DKA vs HHNK for CCRN Review
09.05 Chronic Renal Failure for CCRN Review
Antidiabetic Agents
Blood Glucose Monitoring
Creatinine Clearance Lab Values
Diabetes Management
Diabetes Mellitus (DM) Module Intro
Diabetes Mellitus & Those Dang Blood Sugars! – Live Tutoring Archive
Diabetes Mellitus Case Study (45 min)
Diabetes Mellitus Type 1- Signs & Symptoms Nursing Mnemonic (The 3 P’s)
Diabetic Emergencies for Certified Emergency Nursing (CEN)
Diabetic Ketoacidosis (DKA) Case Study (45 min)
Gestational Diabetes (GDM)
Gestational Diabetes and Why YOU Should Know About It – Live Tutoring Archive
Glipizide (Glucotrol) Nursing Considerations
Glucose Lab Values
Glucose Tolerance Test (GTT) Lab Values
Hemoglobin A1c (HbA1C)
Insulin
Insulin – Intermediate Acting (NPH) Nursing Considerations
Insulin – Long Acting (Lantus) Nursing Considerations
Insulin – Mixtures (70/30)
Insulin – Rapid Acting (Novolog, Humalog) Nursing Considerations
Insulin – Short Acting (Regular) Nursing Considerations
Metformin (Glucophage) Nursing Considerations
Nursing Care and Pathophysiology of Diabetes Mellitus (DM)
Nursing Care and Pathophysiology of Diabetic Ketoacidosis (DKA)
Nursing Case Study for Type 1 Diabetes
Anti-Infective – Sulfonamides
Wounds (Infectious, Surgical, Trauma) for Progressive Care Certified Nurse (PCCN)
Insulin Mnemonic (Ready, Set, Inject, Love)
Amputation
Nursing Case Study for Diabetic Foot Ulcer
Nursing Care Plan (NCP) for Hyperosmolar Hyperglycemic Nonketotic Syndrome (HHNS)
Sodium and Potassium Imbalance for Certified Emergency Nursing (CEN)
Gabapentin (Neurontin) Nursing Considerations
Nursing Care and Pathophysiology of Chronic Kidney (Renal) Disease (CKD)
03.03 Hypoglycemia for CCRN Review
Acute Confusion
Corticosteroids
Glucagon Lab Values
Glucagon (GlucaGen) Nursing Considerations
Hyperglycemia for Progressive Care Certified Nurse (PCCN)
Hypoglycemia Management Nursing Mnemonic (Cool and Clammy – Give ‘Em Candy)