A 21-year old female (A.M.) presents to the urgent care clinic with symptoms of nausea, vomiting, diarrhea, and a fever for 3 days. She states that she has Type I diabetes and has not been managing her blood sugars since sheâ€™s been ill and unable to keep any food down. Sheâ€™s only tolerated sips of water and juices. Since sheâ€™s also been unable to eat, she hasnâ€™t taken any insulin as directed. While helping A.M. from the lobby to the examining room you note that sheâ€™s unsteady, her skin is warm and flushed, and that sheâ€™s drowsy. You also note that sheâ€™s breathing rapidly and smell a slight sweet/fruity odor. A.M. has a challenge answering questions but keeps asking for water to drink.
You get more information from A.M. and learn the following:
She had some readings on her glucometer which were reading â€˜highâ€™
She vomits almost every time she takes in fluid
She hasnâ€™t voided for a day but voided a great deal the day before
Sheâ€™s been sleeping long hours and finally woke up this morning and decided to seek care
Current labs and vital signs:
What is the disorder and its pathophysiology that you expect the health care provider to diagnose and treat?
Describe the etiology of the disorder A.M is experiencing.
Identify and describe the clinical manifestations of the disorder A.M. is experiencing.
Identify and describe the expected treatment options for A.M. based on the disorder and clinical manifestations.
Summarize the questions above and formulate what may be happening with A.M. and how you would improve her condition.
Harding, M.M. & Snyder, J.S. (2015). Winninghamâ€™s critical thinking cases in nursing: Medical-surgical, pediatric, maternity, and psychiatric. Retrieved from: https://ebookcentral.proquest.com/lib/ras/detail.action?docID=2072336.Â