A diabetes case study.

written Assignment: A diabetes case study.

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, her skin is 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 the following:

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.

• Vital Sign

• Temperature                      

• 101.3° F (tympanic)

• Blood pressure

88/46 mmHg

Heart rate

132 beats/minute

Respiratory rate

36 breaths/min, deep

Oxygen saturation % (SpO2)

91% on room air

Lab results

Serum glucose

657 mg/dl

Serum potassium

6.2 mEq/L

Urine ketones

Positive

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