Zuri Aged Years Assignment Help: How to Answer This Question

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Original Question

Zuri aged 65 years presents to the Diabetic Assessment Unit, accompanied by her daughter. She has an 7-week history of nausea, abdominal pain, polyuria, polydipsia, lethargy andweight loss. She is a widow and lives alone. Her son visits her and discovers she is unwell and confused.Zuri was diagnosed with Type 1 diabetes since the age of 18 and takes insulin Levemir atbedtime(20u) and a rapid-acting insulin analogue (Novorapid-6u) before each meal. She isunder the care of the Community diabetes team but has missed her last two appointments.has not been following the Diabetic Nurse advice on Insulin administration. In the past 6months has been missing meals and is not checking her blood sugars.Zuri has been transferred to the ward from the Emergency department. She is now admittedwith hypoglycaemia (Capillary Blood Glucose (CBG/BM) 1.3 mmol/L and her weight is 70Kg(BMI 23).On assessment, she looks unwell.Airway:Patent, able to talkBreathingRespiratory rate 35/min, Saturations are 87% on air.Chest movement issymmetricalCirculationHeart Rate is 128/min, Blood pressure is 94/60mmHg, Capillary refill time is 3secs, pulses present with cool peripheries, HS 1-2-0DisabilityPUPIL (size 2), GCS 8/15ExposureNil injuries/rashes; Abdomen soft, tender throughout upper abdomen, nilguarding/reboundHydration status: Dry mucous membranes, reduced skin turgorTemperature 37.9°C

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