Which insulin regimen would Anya use at bedtime? Management of care is a collaboration between members of an interdisciplinary team. However, if she had declared her concern more clearly and promptly on the phone, the priority to review would have been different, and asking for a urine sample before arrival could have been useful. The child was apparently sick once more during this time but, once seen, looked well, smiled and did not appear clinically dehydrated or in distress. To elicit this information, what is the most appropriate action by the nurse? The diagnosis of type 1 diabetes in children can become obvious by a positive dipstick test — although some sticks may not show glucose reliably in the presence of significant ketones.
Which immunizations should be administered? When evaluating the effectiveness of parental education, what results demonstrate an understanding of the care of a child with diabetes? An apparently minor illness had a serious cause. Parents confess they are uncomfortable given the injections for fear of harming Anya. The precise reason for the likely autoimmune triggered condition is still in parts unclear, but, observational studies suggest possible associations to infections rubella, coxsackie virus and early exposure to cow’s milk protein. She had a mild head injury six months before, with no further consequences. If a finger-prick test for capillary blood seems too invasive and painful in a child, the heel may be an easier place to test from.
Case study: Type 1 diabetes in a child
If a finger-prick test for capillary blood seems too invasive and painful in a child, the heel may be an easier place to test from. What element is essential to consider when teaching to Anya?
Which insulin regimen would Anya use at bedtime? What is the best explanation by the nurse? When evaluating the effectiveness of parental education, what results demonstrate an understanding of the care of a child with diabetes?
Based on these complaints, what nursing diagnosis has the highest priority? The child was immediately admitted for further management. She was apyrexial, the abdomen felt soft and did not reveal any specific tenderness, guarding or rebound, and the bowel sounds were normal. The girl had managed to spend the day in school but seemed to have worsened since coming home and had been sick once or twice.
An apparently minor illness had a serious cause. There was little medical history – the child was born at term, developed well, was up to date with all vaccinations, had had chickenpox and a few reviews for minor illnesses.
What approach to care is the most indicative to Anya and her parents? Parents confess they are uncomfortable given the injections for fear of harming Anya. Systemic rehydration, however, should be done gradually and carefully to prevent possible complications, such as cerebral or pulmonary oedema.
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Have you registered with us yet? There was no apparent fever, diarrhoea, rash, pain elsewhere, photophobia or altered behaviour, or dysuria, and some simple painkillers had made very little difference. The nurse must aim her teaching towards Anya and her parents. Government talks on NHS pension tax crisis ‘close to conclusion’ Talks between government ministers on how to stop punitive pensions taxes undermining Considering the potential problem of hypoglycemia, what nursing intervention has the highest priority?
Which assessment findings are consistent with this diagnosis? However, if she had declared her concern more clearly and promptly on the phone, the priority to review would have been different, and asking for a urine sample before arrival could have been useful.
Apart from the classic triad of polydipsia, polyuria and weight loss despite polyphagiaother symptoms of new-onset type 1 diabetes can less specific, such as nausea or fatigue, and there are published case reports of other atypical first presentations, including hemiparesis, severe partial seizures, hemiballismus, pretibial numbness or intractable hiccups.
According to Erickson, in what stage answeers development is Anya? What can primary care networks learn from past service reorganisations? The mother was aware that the child would need to be seen as an extra at the end of surgery, but preferred this over typpe advice or a possible review at the out-of-hours service later in the evening, if the symptoms were to persist or worsen. What elements are implemented by the interdisciplinary team?
Abdominal pain and nausea are common in DKA due to the increasing metabolic acidosis, but could, in the early stages, be mistaken as symptoms of gastroenteritis. There was no current medication or allergy history.
Case study: Type 1 diabetes in a child | GPonline
The insulin therapy protocol used with Anya consists of three insulin injections a day. What is the most appropriate answer from the nurse? What nursing action provides the most complete health profile for this family? Obviously, all newly-diagnosed cases of type 1 diabetes require immediate specialist management and the start of insulin replacement therapy.
The girl’s seven-year-old cousin, who had recently been diagnosed with diabetes, had been unusually thirsty, and the mother also observed this in her own child in the past few days.
GPs in line for seniority pay windfall worth thousands of pounds Hundreds of GPs could be in line for thousands of pounds in extra seniority pay after To elicit this information, what is the most appropriate action by the nurse?
It was only at this point the mother mentioned her worry about possible diabetes. Register now to enjoy more articles and free email bulletins Register Already registered?