The parents of an 8-year-old boy enter the emergency department shortly after the child arrives via ambulance from schoo

[answerhappygod]

The parents of an 8-year-old boy enter the emergency department
shortly after the child arrives via ambulance from school.
Subjective Data • The parents state, • “Where is our son? We
received a telephone call from the school nurse that our child
collapsed in his classroom and that he was immediately transported
to the hospital via ambulance.” • “He is a good boy. We know that
he didn’t take anything that he shouldn’t.” • “Please, we must see
him to let him know that we love him and want him to get better.” •
“He has had a bad cold for the past couple of days, but that’s it.”
• After a brief interview with the nurse, the parents state, • “He
has been drinking and eating a lot lately, but we just thought that
he was an active, growing boy.” • “We’ll be honest with you, we
don’t pay too much attention to how often he goes to the bathroom.
He is a very private boy.” Objective Data • Glasgow Coma score:
11/15 (see Glasgow coma scales in Chapter 22, “Nursing Care of the
Child With Neurological Problems”) • Eye opening: opens eyes in
response to speech, 3 • Motor response: makes localized movements
in response to painful stimuli, 5 • Verbal responses: responds with
inappropriate words, 3 • Other assessments Vital Signs Temperature:
99.8 °F Heartrate: 130 bpm Respiratoryrate: 32 rpm,deep
Bloodpressure: 95/56mmHg O2 saturation: 96% Currentweight:
86lb/8.1%weightloss(7lblessthan hislast well-child checkwhen he
wasatthe50thpercentileforheight and weight) • Dry mucous membranes
Skin tenting Lab Results Complete blood count Red blood cell count:
5.5 million cells/mm3 Hematocrit: 48% Hemoglobin: 16 G/dL
Platelets: 180,000 cells/mm3 White blood cell count: 8,300
cells/mm3 • Serum glucose: 325 mg/dL • Serum potassium: 2.5 mEq/L •
Hemoglobin: A1C 12% • PH: 7.0 Health-Care Provider’s Orders • Admit
to pediatric intensive care unit • Complete bedrest • NPO • IV NS
400 mL over one hour, 20 mL/kg thereafter • Insulin drip at 0.05
units/kg/hr • Perform serum glucose assessments every 15 min and
report to primary health-care provider • Repeat hourly potassium
levels and report to primary health-care provider • Monitor Glasgow
findings every 15 min. If the level drops below 11, notify the
primary healthcare provider immediately (Potassium replacement and
additional insulin administration to be determined based on
laboratory data.)