Chat with us, powered by LiveChat The school RN sees an 8-year-old male coming into the nursing office by his Phys Ed teaching with complaints of profuse sweating and confusion. The patient is currently afebrile. - Writeden

Case Summary

 

The school RN sees an 8-year-old male coming into the nursing office by his Phys Ed teaching with complaints of profuse sweating and confusion. The patient is currently afebrile.

 

Objectives. ( More or less are possible)

 

1. Recognizing signs of hypoglycemia

 

2. Differentiate between hypo- and hyperglycemia

 

3. Initiates treatment plan for abnormal blood sugars

 

4. Evaluating effectiveness of treatment plan

 

Description of Client

 

Age:

 

8 years

 

Gender

 

male

 

Medical diagnosis or chief concern

 

Abnormal blood sugars

 

Care Setting (More than one are possible)

 

|_| Emergency Department

 

|_| Medical-Surgical Unit

 

|_| Pediatric Unit

 

|_| Maternity Unit

 

|_| Behavioral Health Unit

 

|_| Intensive care unit

 

|_| Post-anesthesia Care Unit

 

|_| Skilled-care Facility

 

|_| Home

 

|_| Outpatient Clinic

 

|X| Other setting: school

 

|_| Others present:

 

History of chief concern/current condition/problem

 

Symptom: sweating and confusion

 

Onset: 30 minutes ago

 

Treatments tried (if applicable): drank water and sat down

 

Other history as indicated

 

Allergies: NKA

 

Weight/BMI (If applicable): 23 kg

 

Medical diagnosis/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 signs

 

Assessments

 

Important, abnormal, or relevant assessments

 

Normal or irrelevant assessments

 

Confusion

 

Sweating

 

Recent illness with “up and down” sugars

 

PMHx DM Type I

 

Afebrile

 

Solutions

 

Priority to address

 

Desired outcome

 

Confusion

 

Sweating

 

DM I history

 

Alert and oriented x3

 

Normal blood sugars

 

Actions/order indicated

 

Actions/order not indicated/contraindicated

 

Obtain blood sugar

 

Obtain full set of vital signs

 

Send back to gym class immediately

 

Increase insulin dose

 

Information Sources

 

|_| Phase Sheet

 

|X| Nurses’ Notes

 

|_| History and Physical

 

|_| Admission Notes

 

|_| Vital Signs

 

|_| Medications

 

|_| Orders

 

|_| Intake and Output

 

|_| Laboratory Report

 

|_| Flowsheet

 

|_| Progress Notes

 

|_| Diagnostic Report

 

|_| Other:

 

1.) What is most concerning finding? (10 points)

 

2.) What factors best explain client’s symptoms? Use specific pathophysiology. (15 points)

 

3.) What condition would most likely be expected? (10 points)

 

4.) What will happen if this condition is not treated? (10 points)

 

5.) What actions should the nurse take? (15 points)

 

6.) Which actions are contraindicated? (10 points)

 

7.) How should the nurse provide the glucose and why? (10 points)

 

8.) When should the RN re-check the blood glucose? (10 points)

 

9.) Under which circumstances would EMS be activated? (5 points)

 

10.) Who should the nurse notify? (5 points)

 

CJCST Version 2.0 designed by Desirée Hensel, 2022. Permission granted to use and modify template for educational purposes.