A 21-year old female (A.M.) presents to the urgent care clinic with symptoms of nausea, vomiting, diarrhea, and a fever for 3 days. She states that she has Type I diabetes and has not been managing her blood sugars since she’s been ill and unable to keep any food down. She’s only tolerated sips of water and juices. Since she’s also been unable to eat, she hasn’t taken any insulin as directed. While helping A.M. from the lobby to the examining room you note that she’s unsteady, note that her skin in warm and flushed and that she’s drowsy. You also note that she’s breathing rapidly and smell a slight sweet/fruity odor. A.M. has a challenge answering questions but keeps asking for water to drink. You get more information from A.M. and learn She had some readings on her glucometer which were reading ‘high’ She vomits almost every time she takes in fluid She hasn’t voided for a day but voided a great deal the day before She’s been sleeping long hours and finally woke up this morning and decided to seek care\ Current labs and vital signs: Blood pressure: 88/46 mmHg Heart rate: 132 bpm Respiratory rate: 36/ deep Temperature: 101.30 F (tympanic) Glucose: 657 mg/dl Potassium: 6.2 mEq/L What are the expected treatments for this condition?
A 21-year old female (A.M.) presents to the urgent care clinic with symptoms of nausea, vomiting, diarrhea, and a fever for 3 days. She states that she has Type I diabetes and has not been managing her blood sugars since she’s been ill and unable to keep any food down. She’s only tolerated sips of water and juices. Since she’s also been unable to eat, she hasn’t taken any insulin as directed. While helping A.M. from the lobby to the examining room you note that she’s unsteady, note that her skin in warm and flushed and that she’s drowsy. You also note that she’s breathing rapidly and smell a slight sweet/fruity odor. A.M. has a challenge answering questions but keeps asking for water to drink. You get more information from A.M. and learn She had some readings on her glucometer which were reading ‘high’ She vomits almost every time she takes in fluid She hasn’t voided for a day but voided a great deal the day before She’s been sleeping long hours and finally woke up this morning and decided to seek care\ Current labs and vital signs: Blood pressure: 88/46 mmHg Heart rate: 132 bpm Respiratory rate: 36/ deep Temperature: 101.30 F (tympanic) Glucose: 657 mg/dl Potassium: 6.2 mEq/L What are the expected treatments for this condition?
Nutrition Through The Life Cycle
7th Edition
ISBN:9781337919333
Author:Brown, Judith E.
Publisher:Brown, Judith E.
Chapter19: Nutrition And Older Adults - Conditions And Interventions
Section: Chapter Questions
Problem 1.5CS
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A 21-year old female (A.M.) presents to the urgent care clinic with symptoms of nausea, vomiting, diarrhea, and a fever for 3 days. She states that she has Type I diabetes and has not been managing her blood sugars since she’s been ill and unable to keep any food down. She’s only tolerated sips of water and juices. Since she’s also been unable to eat, she hasn’t taken any insulin as directed. While helping A.M. from the lobby to the examining room you note that she’s unsteady, note that her skin in warm and flushed and that she’s drowsy. You also note that she’s breathing rapidly and smell a slight sweet/fruity odor. A.M. has a challenge answering questions but keeps asking for water to drink.
You get more information from A.M. and learn
- She had some readings on her glucometer which were reading ‘high’
- She vomits almost every time she takes in fluid
- She hasn’t voided for a day but voided a great deal the day before
- She’s been sleeping long hours and finally woke up this morning and decided to seek care\
Current labs and vital signs:
- Blood pressure: 88/46 mmHg
- Heart rate: 132 bpm
- Respiratory rate: 36/ deep
- Temperature: 101.30 F (tympanic)
- Glucose: 657 mg/dl
- Potassium: 6.2 mEq/L What are the expected treatments for this condition?
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