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case study questions 1-6
Diabetes Mellitus Case Study Ms. W. was brought to the first aid tent provided for participants in a charity marathon. She is
Diabetes Mellitus Case Study Ms. W. was brought to the first aid tent provided for participants in a charity marathon. She is a 24-year-old, type 1 diabetic well maintained on a regimen of self-monitoring of blood glucose, insulin, and diet. She states that she feels cold, she has a headache, and her fingers feel numb. She took her usual dose of insulin this morning, but was unable to eat her entire breakfast because of a lack of time. She completed the entire marathon in a personal best time. Objective data: • Slurred speech and unsteady gait • Pulse 120 bpm • Appears confused • Capillary blood glucose level: 48 mg/dl 1. Describe what Ms. W. could have done to prevent this hypoglycemic event. 2. What is the etiology of the signs and symptoms displayed by Ms. W.? 3. How would you expect to treat Ms. W's hypoglycemia? 4. What teaching is appropriate for this patient once her condition has been stabilized? 5. What adjustments in her diabetic regimen could Ms. W. make to allow her to continue with her exercise habits? 6. Based on the assessment data presented, write 3 appropriate nursing diagnoses.
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