Fourteen Year Amanda Explained for Students (Easy Guide)

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Original Question

Fourteen-year-old Amanda is admitted to the hospital with newly diagnosed type 1 diabetes mellitus. She had initially been taken to her healthcare providers’s office for enuresis, polyphagia, polydipsia, and lethargy, but when assessed, her urinalysis had glucose and ketones, and she had a weight loss of 15 lb. Upon admission to the hospital, a full assessment is performed and the following vital signs are documented: weight 115 lb, temperature 98.8°F, respiratory rate 40 breaths per minute, heart rate 90 beats per minute, and blood pressure 106/63 mmHg. She has dry mucous membranes, but skin turgor is brisk. Blood is drawn immediately and will continue to be drawn every hour until she is stable. After Amanda’s condition stabilizes, education related to management of type 1 diabetes is initiated for Amanda and her parents. Amanda understands the nutritional guidelines associated with type 1 diabetes and how, under adult supervision, to perform blood glucose monitoring as well as how to draw up and administer insulin. Amanda and her parents spend most of the time in the hospital learning survival skills for managing her diabetes. Daily education and monitoring will occur in the diabetes clinic until the family is confident about taking care of Amanda. Regular followup visits will be scheduled with the diabetes nurse educator and endocrinologist. 1. What is the blood work most likely to be done on Amanda when admitted to the hospital for type 1 diabetes? 2. How should the family be told to manage hypoglycemic episodes? 3. What should the parents be told about preventing diabetic ketoacidosis in Amanda? 4. How often should blood glucose monitoring be performed once the condition is stabilized?

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