CASE STUDY History of present illness: Fourteen-year-old Ali has been complaining of weakness that has lasted for 3 week

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Case Study History Of Present Illness Fourteen Year Old Ali Has Been Complaining Of Weakness That Has Lasted For 3 Week 1 (72.22 KiB) Viewed 43 times

Case Study History Of Present Illness Fourteen Year Old Ali Has Been Complaining Of Weakness That Has Lasted For 3 Week 2 (61.45 KiB) Viewed 43 times

CASE STUDY History of present illness: Fourteen-year-old Ali has been complaining of weakness that has lasted for 3 weeks now. When he added excessive urination, abdominal pain, vomiting and muscle cramps to his complaint, the patient was referred to the emergency room and was hospitalized. Anthropometric measurements: Weight: 50 kg Length: 170 cm Health history: She was born at 39 weeks of gestation with normal spontaneous vaginal delivery. Her mother does not remember her birth height and weight. Family history: Type II Diabetes Mellitus in grandfather (+) Growth-development: Suitable for age. Vital signs: Body temperature (tympanic): 36.3, pulse (radial): 108/min, respiratory rate: 30/min, BP: 100/60 mmHg Physical Assessment Digestive system: There is smell of acetone in the mouth, abdominal pain (+) Respiratory system: Kussmaul breathing (+) Urinary system: Polyuria (+), pollakiuria (+) Skin: Turgor decreased, mucous membranes dry Other systems are usual. Lab findings Blood glucose value: Biochemistry: 15:00 369 mg/dl BUN: 17.6 Na: 129mmol/L. pCO43.7 Islet cell antibody: (+) Creatinine: 0.89 po:105. AntiGAD antibody: (-) HCO,: 14,0 mmol/L Blood gases pH: 7.25 HbA1C: 11.2% Diagnosis: Type 1 Diabetes Mellitus (diabetic ketoasidosis) Doctor's order: Humolog Insulin (6 IU, 6 IU, 7 IU) Lantus Insulin (20 IU) The Reaction of the Child and the Family to the Illness: The mother stated that she was very sad that her child was diagnosed with diabetes, and that she blamed herself for noticing late. He is worried that his friends will hear about his illness, he is sad because he was unable to go to school due to hospitalization.
Diagnosis. Type Dates remius LTU KERASTUUSIS) Doctor's order: Humolog Insulin (6 IU, 6 IU, 7 IU) Lantus Insulin (20 IU) The Reaction of the Child and the Family to the Illness: The mother stated that she was very sad that her child was diagnosed with diabetes, and that she blamed herself for noticing late. He is worried that his friends will hear about his illness, he is sad because he was unable to go to school due to hospitalization. QUESTIONS 1. Discuss Ali's weight and height percentile values and determine whether the values are normal values 2. Ali's growth and development has been described as "appropriate for his age". Examine the growth and development of this age group according to the theories of Freud, Piaget, Erikson and Kohlberg. 3. Explain Type I Diabetes Mellitus. Compare the signs and symptoms of Type I Diabetes Mellitus with the signs and symptoms of Ali. 4. Interpret the vital signs of Ali. 5. Ali's: a. Calculate the fluid that should be taken in the first 1-2 hours. b. Which fluid do you give? c. Which fluid should you keep ready? 6. Write at least 4 current or possible nursing diagnoses (in physiological aspect) for Ali and his family, prepare the care plan and reach the diagnosis and planning phase. 7. Write down at least 3 current or possible nursing diagnoses (in psychological aspect) for Ali and his family, prepare the care plan and reach the diagnosis and planning phase. 8. Write at least 2 current and possible nursing diagnoses (social aspect) for Ali and his family, prepare the care plan and the diagnosis and planning phase. 9. Explain the mechanism of action and the route of administration of Humulog and Lantus insulins in the treatment protocol of Ali. 10. Explain what discharge education should be given to the Ali & his family regarding Ali's treatment. Addition: If you were Ali's nurse, what other data would you need and try to collect first?