Case #2: Diabetes Mellitus Case Study A Case Scenario: JC is a 72-year-old African American male living alone in his own home. JC was found unconscious by his neighbor who went next door to check on him because “he had not seen him for a while.” The neighbor stated JC has a history of diabetes and has been spending more time alone since his wife passed away last year. JC is lethargic and slow to respond to questions. While taking the nursing history, JC admits to abdominal pain and nausea. He also admits to eating poorly because he “doesn’t like to eat alone.” JC also complains of frequent urination and headache. His vital signs are presently: • B/P: 92/50 • P: 132 • R: 22 • SaO2: 95% room air • T: 100.2° (orally) Labs: • Glucose: 880 • Blood pH: 7.36 • Na: 130 • K: 2.2 • CO2: 22 • BUN: 94 • Creatinine: 1.0 JC is admitted to the ICU with a diagnosis of HHS.
1. What assessment data supports the pathophysiology of HHS?
2. What psychosocial factors precipitated his condition? .
3. Review the assessment data. What are 3 nursing diagnoses for JC? Which one has the highest priority?
1.His blood glucose level is 880.this indicates blood sugar is ver high..This complication of diabetes is hyperglycemic hyperosmolar syndrome.presence of ketone is not mentioned.Thus,this data indicates HHS.
2. Increases level of tension,anxiety,depression,mood disorder,modern life style is the psychosocial factors effects on this condition.
3. 1.high level of blood sugar is related as a complication of type 2 diabetes.
2.de reased blood preseure is related to dehydration.
3.decreased level of consciousness related to low level of electrolytes.
High blood sugar has the highest priority then balance hydration and electrolytes.this much level of blood sugar to increase the discomfor such as abdominal pain and nausea.To prevent complication of HHS it is necessary to control blood sugar first.
Case #2: Diabetes Mellitus Case Study A Case Scenario: JC is a 72-year-old African American male...
Case #2: Diabetes Mellitus Case Study A Case Scenario: JC is a 72-year-old African American male living alone in his own home. JC was found unconscious by his neighbor who went next door to check on him because “he had not seen him for a while.” The neighbor stated JC has a history of diabetes and has been spending more time alone since his wife passed away last year. JC is lethargic and slow to respond to questions. While taking...
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Case Scenario: NB is a 32-year-old Native American admitted to the ED after his wife found him unconscious on the bathroom floor. NB is now lethargic and slow to respond to tactile-verbal stimuli, but answers questions appropriately when awake. NB complains of abdominal pain and nausea. NB’s wife states he was diagnosed with diabetes last year after an admission to the hospital for diabetic coma. NB stopped taking his insulin two days ago because of nausea and “flu-like” symptoms. NB...
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Case #1: Diabetes Insipidus Case Study Case Scenario: BD is a 40-year-old Caucasian male brought to the ED following a head injury in a motorcycle accident. BD was stabilized and sent to the ICU for observation. On Day 3 in the ICU, BD’s vital signs and lab studies are reported to the day shift nurse as: • B/P 84/54 P- 128 R-20 SaO2- 94% T- 99.2 (oral). • Urine output for the past 24 hours: 8,050 ml. • Na: 164...
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