Question

Diabetic Ketoacidosis I. Data Collection History of Present Problem: Diana Humphries is a 45-year-old woman who missed her scheduled hemodialysis treatment yesterday and has been feeling increasingly nauseated the past 12 hours. She has had a harsh, productive cough of yellow sputum the past 3 days. She checked her blood glucose before going to bed last night and it was 382, but then she fell asleep early and missed her bedtime dose of Lantus insulin. When she awoke this morning she continued to feel nauseated and had a large emesis. He glucometer was unable to read her blood glucose because it was too high. She took 10 units of Humalog insulin this morning. Her nausea has increased all morning and she has been unable to eat or keep anything down. When her lunchtime glucometer gave no rouding because it was too high and out of range, she called 9-1-1 to be evaluated in the emergency department (ED). Long-Acting Personal/Social History: Diana has been inconsistently compliant with her medical/diabetic regimen due to her struggles with anxiety and depression that have worsened since her mother died 3 months ago. She considers 200 a good blood sugar reading. She takes public transportation to dialysis and misses her dialysis appointments at times. She is divorced with no children and as a result has been homeless and has lived in a shelter off and on. She is on Social Security disability because of complications related to diabetes. At one point during the intake interview, she expressed to the nurse, "I'm going to die anyway, why does all this matter." What data from the histories is important & RELEVANT; therefore it has clinical significance to the nurse? RELEVANT Data from Present Problem: Clinical Significance:

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Answer 1