NSC2103: Clinical Science - Bill Hughes Case Study - Essay Writing Assessment Answer

Internal Code: 1AGEHA Code: NSC2103

Nursing Assessment Answer

Assignment Task: NSC2103 The purpose of this case study essay is to enable students to produce an assignment, using evidence-based information, to demonstrate their knowledge and understanding of diabetes and the nursing care required of these patients. Content should include a discussion on the pathophysiology of the condition, analysis of the clinical manifestations, assessment/investigations for DKA, treatment options based on national guidelines and implications for nursing practice. NSC2103 Patient profile Bill Hughes is a 26-year-old man who lives with his wife. He has a history of type one diabetes and is overweight. He presented to the emergency department, complaining of feeling foggy in the head and sleepy. His wife reports that he became very drowsy and confused after dinner. Bill has high blood sugar levels which were managed in the emergency department and he has been transferred to the medical ward. You are the nurse assigned to care for Bill for the afternoon shift. Following handover you go to introduce yourself to Bill you find he has tachypnoea, and his skin is flushed and dry. You can smell his breath which has an acetone scent. From his medical history you gather the following data; NSC2103 Subjective data (provided by his wife) • Was diagnosed with Type 1 diabetes mellitus 2 years ago • Is taking 48 U of insulin daily: 12 U of regular insulin plus 20 U of isophane (NPH) before breakfast, 8 U of regular insulin before dinner and 8 U of NPH at bedtime • Has a history of flu-like symptoms for 1 week with vomiting and poor appetite • Stopped taking insulin 2 days ago when he was unable to eat • Lethargic but responding appropriately Objective data Physical examination • Kussmaul breathing • BP 95/65, HR 93 bpm, Temp 35.6 0 Celsius, Resp 22 bpm • Acetone smell on breath • Skin flushed and dry • GCS 14 Diagnostic studies • Blood glucose level: 38.5 mmol/L • Blood HbA1c: 9% • ABG’s: pH 7.24, HCO3 18 mmol/L • U&E’s K 4.1 mmol/L Na 154 mmol/L • Urinalysis - ketonuria Your assignment is to produce a written piece of work addressing the following areas; PATHOPHYSIOLOGY - NSC2103

• Briefly explain the pathophysiology of Type 1 diabetes mellitus and the development of diabetic ketoacidosis (DKA) in this patient. In your answer identify the clinical manifestations of DKA demonstrated by Bill and why these are occurring.

MANAGEMENT - NSC2103

• Outline the immediate nursing and medical management Bill requires in the treatment of this episode of DKA. In your answer include the pharmacological management required by a patient with Type 1 diabetes mellitus.

MEDICATIONS - NSC2103

• Identify three medications that would be used in the treatment of Mr Hughes and outline the indication for use, mechanism of action, administration method, side effects, and nursing care required for these medications.

Important details about your assessment - NSC2103

• This essay requires a standard essay introduction and conclusion.
• There is a word limit of 2000 words (+/- 10% as per SNM Presentation and Assignment

Guidelines).

• Marks will be allocated as per SNM Assessment Rubric & the essay specific criteria below.
• Submission instructions and the link is accessible under the ‘assessments’ tab.
• Students should refer to the SNM Presentation and Assignment Guide, ECU APA

Referencing Guide, and the SNM Marking Assessment Rubric.

• Graphs, tables and flow charts to support the statistical data will not be accepted.

This NSC2103: Nursing Assessment has been solved by our Nursing experts at My Uni Paper. Our Assignment Writing Experts are efficient to provide a fresh solution to this question. We are serving more than 10000+ Students in Australia, UK & US by helping them to score HD in their academics. Our Experts are well trained to follow all marking rubrics & referencing style.