Question

I need help fill out this Focus report.

Patient Introduction

Skyler Hansen is an 18-year-old male diagnosed with type 1 diabetes 6 months ago. He was brought to the Emergency Department by his friends. The friends report that he started acting “weird” while they were playing basketball. He has not eaten anything for 5 hours. Skyler told them that he felt lightheaded and was going to lie down on the cement. They became nervous and decided to bring him in to the Emergency Department. The patient is drowsy, wakes with stimulus, has slurred speech, is diaphoretic, and is acting irrationally.

Diagnostics

Fasting plasma glucose level test Fasting plasma glucose level test

Glycosylated hemoglobin test Glycosylated hemoglobin test

Pharmacology

Dextrose 50% Dextrose 50%

Glucagon Glucagon

Med Surg Clinical Priority Focused Guide D.McWeeney Student Name: Clinical Faculty Name:_ Instructions: After completing the vSim scenario, use the following guide to organize and prioritize patient care data. Use Nursing Central as a resource to guide you in completing this form. Clinical Case: Provide rationale for each using Nursing Central Case Scenario: Priority Assessments Priority Diagnostics/ labs Priority Nursing Interventions Priority Medications Priority Potential vs. Actual complications Priority Collaborative Goals QSEN (choose a minimum of 2 as it relates to the patient encounter) 1) Patient Centered Care 2) Teamwork and Collaboration 3) Evidence-Based Practice 4) Quality Improvement 5) Safety 6) Informatics

Answer 1

Case scenario

1) priority assessment- light-headedness,drowsy, wakes with stimulus, has slurred speech, is diaphoretic, and is acting irrationally.

2) priority diagnostic tests -

Fasting plasma glucose level test

Glycosylated hemoglobin test

3) priority nursing interventions

• Assess causative or contributing factors by identifying the factors present.
• Assess the degree of impairment.
• Check the current blood glucose.
• Administration of 50%dextrose and glucagon to increase blood sugar
• Repeat the patient’s blood glucose level after 1 hour.
• Monitors patient’s vital signs.
• Draw blood for baseline electrolytes.
• Obtain a complete patient history including the last alcohol intake and medications.

4) priority medication

Glucagon ,50% dextrose

5)priority potential Vs actual complications

It includes accidents, injuries, coma, and may even prove fatal. Recent studies have associated severe hypoglycemia as a risk factor for dementia, falls, fractures, and heart attacks. The simplest solution under hypoglycemia conditions is to provide a sugar source to the patient.

6) priority collaborative goal

• Assessment
• Obtained blood glucose level
• Providing medication like glucagon
• Gain consciousness of patient
• Reassured the patient

7)qsen

Patient centered care and evidence based care

Hope you wil give a thumbs up for my effort

THANK YOU