The nurse must aim her teaching towards Anya and her parents. Even though some children may still look surprisingly well for the initial period, due to the polyuria and likely noctural enuresis caused by hyperglycaemia, they can be significantly dehydrated by several litres at this point. The majority of children appear to develop it under 12 years of age, but it may start in adults as well. Parents confess they are uncomfortable given the injections for fear of harming Anya. The precise reason for the likely autoimmune triggered condition is still in parts unclear, but, observational studies suggest possible associations to infections rubella, coxsackie virus and early exposure to cow’s milk protein. There was no current medication or allergy history. Systemic rehydration, however, should be done gradually and carefully to prevent possible complications, such as cerebral or pulmonary oedema.

Abdominal pain and nausea are common in DKA due to the increasing metabolic acidosis, but could, in the early stages, be mistaken as symptoms of gastroenteritis. There is a destruction of pancreatic cells, which causes a decrease in insulin production. Government talks on NHS pension tax crisis ‘close to conclusion’ Talks between government ministers on how to stop punitive pensions taxes undermining Obviously, all newly-diagnosed cases of type 1 diabetes require immediate specialist management and the start of insulin replacement therapy. She was apyrexial, the abdomen felt soft and did not reveal any specific tenderness, guarding or rebound, and the bowel sounds were normal. Register now to enjoy more articles and free email bulletins Register Already registered?

hesi case study diabetes type 1 answers

Home News Education Practice About. Even though some children may still look surprisingly well for the initial period, due to the polyuria and likely noctural enuresis caused by hyperglycaemia, they can be significantly dehydrated by several litres at this point.

Abdominal pain and nausea are common in DKA due to the increasing metabolic acidosis, but could, in the early stages, be mistaken as symptoms of gastroenteritis. The child was immediately admitted for further management.

Register now to enjoy more articles and free email bulletins Register Already registered? Anya told her parents she has headaches and often feels dizzy.

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HESI case study – Pediatrics – Diabetes Type I (Anya) | Get Access To Unique Paper

Which insulin regimen would Anya use at bedtime? She had a mild head diabetess six months before, with no further consequences. What can primary care networks learn from past service reorganisations? To elicit this information, what is the most appropriate action by the nurse? 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 Cade girl had managed to spend the day in school but seemed to have worsened since coming home and had been sick once or twice.

hesi case study diabetes type 1 answers

There was no current medication or allergy history. She was apyrexial, the abdomen felt soft and did not reveal any specific tenderness, guarding or rebound, and the bowel sounds were normal.

Parents confess they are uncomfortable given the injections for fear of harming Anya. Management of care is a collaboration between members of an interdisciplinary team. According to Erickson, in what stage of development is Anya? Obviously, all newly-diagnosed cases of type 1 diabetes require immediate specialist management and the start of insulin replacement therapy. Considering the potential problem of hypoglycemia, what nursing intervention has the highest priority?

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. Government annswers on NHS pension tax crisis ‘close to conclusion’ Talks between government ministers on how to stop punitive pensions taxes undermining The precise reason for the likely autoimmune triggered condition is still in parts unclear, but, observational studies suggest possible associations to infections rubella, coxsackie virus and early exposure to cow’s milk protein.

The majority of children appear to develop it under 12 years of age, but it may start in adults as well. 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 nausea or fatigue, and there are published case reports of other atypical first presentations, including hemiparesis, severe partial seizures, hemiballismus, pretibial numbness or intractable hiccups.

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Systemic rehydration, however, should be done gradually hrsi carefully to prevent possible complications, such as cerebral or pulmonary oedema. Have you besi with us yet? There is a destruction of pancreatic cells, which causes a decrease in insulin production.

Type 1 diabetes is one of the most common chronic diseases in childhood and caused by insulin deficiency. Which immunizations should be administered?

What approach to care is the most indicative to Anya and her parents? What is the best explanation by the nurse?

Case study: Type 1 diabetes in a child

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. The girl’s seven-year-old cousin, who had recently been diagnosed with diabetes, had been unusually thirsty, and the mother also observed this in her own child in tgpe past few days.

Related Drug Categories Insulins. There caae no apparent fever, diarrhoea, rash, pain elsewhere, photophobia or altered behaviour, or dysuria, and some simple painkillers had made very little difference. However, if she had declared her concern typ clearly and promptly on the phone, the priority to review would have been different, and asking for a urine sample before arrival could have been useful. What is the most appropriate answer from the nurse?