Case Summary The school RN sees an 8-year-old male coming into the nursing office by his Phys Ed teaching with complaint

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Case Summary The school RN sees an 8-year-old male coming intothe nursing office by his Phys Ed teaching with complaints ofprofuse sweating and confusion. The patient is currently afebrile.Objectives. (More or less are possible) 1. Recognizing signs ofhypoglycemia 2. Differentiate between hypo- and hyperglycemia 3.Initiates treatment plan for abnormal blood sugars 4. Evaluatingeffectiveness of treatment plan Description of Client Age: 8 yearsGender male Medical diagnosis or chief concern Abnormal bloodsugars Care Setting (More than one are possible) 0 EmergencyDepartment 0 Medical-Surgical Unit 0 Pediatric Unit 0 MaternityUnit 0 Behavioral Health Unit 0 Intensive care unit 0Post-anesthesia Care Unit 0 Skilled-care Facility 0 Home 0Outpatient Clinic 1 Other setting: school 0 Others present: Historyof chief concern/current condition/problem Symptom: sweating andconfusion Onset: 30 minutes ago Treatments tried (if applicable):drank water and sat down Other history as indicated Allergies: NKAWeight/BMI (If applicable): 23 kg Medicaldiagnosis/surgeries/psychosocial: Type I DM diagnosed 1 year ago,no further past medical history, no surgical history Medications:Novolog Diagnostic tests: blood glucose POC, vital signsAssessments Important, abnormal, or relevant assessments Normal orirrelevant assessments Confusion Sweating Recent illness with “upand down” sugars PMHx DM Type I Afebrile Solutions Priority toaddress Desired outcome Confusion Sweating DM I history Alert andoriented x3 Normal blood sugars Actions/order indicatedActions/order not indicated/contraindicated Obtain blood sugarObtain full set of vital signs Send back to gym class immediatelyIncrease insulin dose Information Sources 0 Phase Sheet 1 Nurses’Notes 0 History and Physical 0 Admission Notes 0 Vital Signs 0Medications 0 Orders 0 Intake and Output 0 Laboratory Report 0Flowsheet 0 Progress Notes 0 Diagnostic Report 0 Other:
1.) What is most concerning finding? 2.) What factors bestexplain client’s symptoms? Use specific pathophysiology. 3.) Whatcondition would most likely be expected? 4.) What will happen ifthis condition is not treated? 5.) What actions should the nursetake? 6.) Which actions are contraindicated? 7.) How should thenurse provide the glucose and why? 8.) When should the RN re-checkthe blood glucose? 9.) Under which circumstances would EMS beactivated? 10.) Who should the nurse notify?