Case Study Year Question & Answer Guide (With Explanation)
This question tests key academic concepts commonly covered in coursework.
What This Question Is About
This question relates to case study year and requires a structured academic response.
How to Approach This Question
Start by identifying the main issue, then apply relevant academic frameworks.
Key Explanation
This topic involves case study year. A strong answer should include explanation, application, and examples.
Original Question
CASE STUDY 3 J.L., a 12-year-old with no medical history, is brought into the emergency room by her mother with flu-like symptoms of lethargy. States that her daughter has been sick for about a week without improvement. As you document your assessment, you note that the patient has gone to the bathroom (urinated) at least four times in the last hour and continues to request more water. You make a recommendation to obtain Random Blood Glucose and urine glucose. What are you suspecting for diagnosis? What is she exhibiting with her frequent trips to the toilet and water consumption? The Patient’s blood sugar is 599mg/dl, with positive glucose and ketones in her urine. What additional labs could be ordered to investigate? The Patient’s mother is distraught that she missed this diagnosis due to family history. She inquires about the significance of the lab Hemoglobin A1C. What do you explain to her? ABGs were ordered, indicative of metabolic acidosis; the patient is admitted and transferred to the ICU to manage Diabetic Ketoacidosis. What type of diabetes is the Patient exhibiting? Care day 1, the Patient is stable; in your assessment, you note decreased sensation in her feet. What is this indicative of, and what other diabetic complications will you need to discuss with this Patient. Noting that she is at risk due to the decreased sensation in her feet, what preventative measures will you discuss regarding educating the Patient? Care day 2, the CNA notifies you that J.L.’s blood glucose is 41mg/dl; she is very lethargic and difficult to wake. How would you describe her appearance when you walk into the room? Explain why she has decreased orientation/Level of consciousness? What medication to anticipate to treat her hypoglycemia (she has an IV in place). What will your health promotion and maintenance Patient education include? What is the overall goal of maintenance in preventing microvascular and macrovascular complications?
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