Predict: What may happen to your patient if you take NO action and why? (100 words)

    September 16, 2022

Ms Nancy Huang is a 29 year old university student undertaking her honours year in physics. Nancy was diagnosed as a type 1 diabetic three years ago. She normally manages her diabetes reasonably well since making a number of lifestyle changes combined with regular insulin. Nancy has been very stressed, as she has not been able to finish her thesis on time due to having to recently return to China unexpectedly to attend a family funeral. Since returning a few days ago, she has seen her GP, as she was unwell, and was diagnosed with a viral chest infection that was managed conservatively. She subsequently fell further behind in her studies. Nancy decided to pull a few ‘all-nighters’ to get her thesis finished and decided to consume excessive amounts of coffee and soft drinks in order to stay awake to finish her thesis. The next day her husband noticed Nancy was particularly irritable and becoming emotional as she could not concentrate on finishing her thesis. Nancy was insisting on being driven to the university to speak to her lecturer. On the drive in, they had to stop 4 times for Nancy to use the bathroom. She became even more irritable and her husband decided to call an ambulance once they arrived at the university, who then transported her to hospital. The time is now 1400 and Nancy has just been admitted into the emergency bay. You are the first RN to assess her. She is awaiting medical review.Review:See available patient information via MyLO. Little documentation available at this point as newly admitted.Gather new information (patient assessment):Upon undertaking a further assessment of Ms Huang you obtain the following new information:Log bookHer husband provides you with a logbook that was provided to Nancy by her endocrinologist. It shows that Nancy has been diligently recording her BGL levels and insulin regime for some months. You note there are no entries for the last few days.Vital signsBP: 90/50HR: 120 beats per minuteSp02: 94%RR: 20, coarse air entry, moist productive cough.Temp: 37.9 degrees.Other informationPatient irritable and agitated. Speaking in a confused mixture of English and Mandarin. Husband in attendance.GCS 13 (confused)BGL 24Poor skin turgor.Frequent urinationUrinalysis positive for glycosuria, specific gravity 1.030. No ketones present.Soft abdomen, no rebound tenderness. Bowel sounds present.Recall:Recall and apply your existing knowledge to the above situation to ensure you have a broad understanding of what is/may be occurring before proceeding with the rest of the cycle (self-directed)Interpret:List the data that you consider to be normal/abnormal below (not included in word count)Normal AbnormalRelate

Trust your assignments to an essay writing service with the fastest delivery time and fully original content.

Verified