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 shes been ill and unable to keep any food down. Shes only tolerated sips of water and juices. Since shes also been unable to eat, she hasnt taken any insulin as directed. While helping A.M. from the lobby to the examining room you note that shes unsteady, note that her skin is warm and flushed and that shes drowsy. You also note that shes breathing rapidly and smell a slightly 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
She had some readings on her glucometer which were reading high
She vomits almost every time she takes in fluid
She hasnt voided for a day but voided a great deal the day before
Shes been sleeping long hours and finally woke up this morning and decided to seek care
Current labs and vital signs:
Case study adapted from:
Harding, M.M. & Snyder, J.S. (2015). Winninghams critical thinking cases in nursing: Medical-surgical, pediatric, maternity, and psychiatric. Retrieved from: https://ebookcentral.proquest.com/lib/ras/detail.action?docID=2072336.
Summarize the questions above and formulate what may be happening with A.M. and how you would improve her condition.
Use two evidence-based articles from peer-reviewed journals or scholarly sources to support your findings. Be sure to cite your sources in-text and on a References page using APA format. http://rasmussen.libanswers.com/faq/208365
You can find useful reference materials for this assignment in the School of Nursing guide: