Question: Diabetes Case Study ONE Page 1 Celia Lightfoot, A 27 Year-old Female, Has Type 1 Diabetes Mellitus Which Was Diagnosed 7 Years Ago, She Has Had A Mild Cold For The Last 5 Days And Wakened This Morning With A Sore Throat And Cough, Which Is Non-productive And Her Oral Temperature Was 100.6″F. She Called Her Primary Care Provider For Information About …

Diabetes Case Study ONE Page 1 Celia Lightfoot, a 27 year-old female, has type 1 diabetes mellitus which was diagnosed 7 years ago, she has had a mild cold for the last 5 days and wakened this morning with a sore throat and cough, which is non-productive and her oral temperature was 100.6″F. She called her primary care provider for information about what to do. The PPP stated she did not need not to be seen and asked the nurse to talk with her on the phone. Identify key findings & indicate their significance non – The patient has a history of type I diabetes mellitus En rently she has fever, sore throat and productive cough. The sone throat and cough are symptomatic. As the patient is suffering from fener from last days. There might be a chance What instructions should the nurse give the patient? Be specific & give rationales. 1 The patient need to have a bei blood glucose checked wire ingen stick 2 Take tyleno ito reduce the fever and help with the sore throat. 3 Drink alot of weiter cause the gever could be due to dehydration Take insulin as prescrited because insulin will use the grease in the blood to prodece energy normal or healthy foods that contain alteast. 15g of carsily shate. 4 5 Try to eat Four days later, Celia Lighfooot is taken to the Emergency Room by her roommate. The roommate states that Celia was ‘fine’ until this morning when Celia seemed very drowsy and seemed to be breathing heavily so she brought her to the hospital. Ms. Lightfoot’s blood glucose 595mg/dL. VS: BP 102/56, Heart Rate 118, Resp 31 & Deep. She was admitted to the hospital with the following physician’s orders: MD Orders Indicate the reason for the orders and describe the nursing response 1 ovia Nasal cannula @ 2 liters 2 20 gauge Saline Lock, 1 liter D5W 9 8 hrs. 3 1800 Calorie CHO controlled diet 4 10 units NPH & 10 units Regular insulin, suba, now S Lab: Chem panel, CBC with diff, blood cultures x 2 sites, clean catch urine for UA & C&s, ketones & osmolality; ABGs on room air Acetaminophen 650mg PO prn Temp > 101°F VS 9 2 hours 6 8 9 Ambulate QID 10 Urinary output qhr 11 Lasix 10mg IVP for UO of less than 30mL/hr. Prioritize the MD Orders What nursing actions are important to include in the plan of care? List at least 4 with rationales. 1 2 3 4