Zach Forbes Case Study - Registered Nurse Working in the Emergency Department - Nursing Assignment Help

Assignment Task:

The purpose of this assessment is to enable students to demonstrate: 
— An understanding of safe, appropriate and responsive quality nursing practice when administering pharmacological interventions to people with type 1 diabetes. 
— An understanding of the relationship between pharmacological interventions and the cause. pathophysiology and clinical manifestations of type 1 diabetes. 
— An understanding of the impact of type 1 diabetes on the individual. 
— An evaluation of relevant literature to support an understanding of the pharmacological and nursing management of a person with type 1 diabetes and express this in a clear and succinct writing style. 

Details:

Case study You are a Registered Nurse working in the emergency department caring for Zach Forbes who is 15 years of age. 

Medical history 
Zach visited his local doctor after experiencing increased appetite and excessive thirst. He has been unusually tired when playing cricket and hasn't been able to perform at his best. He has lost 10 kilograms of weight over a two week period and has been frequently urinating at night. The doctor suspected type 1 diabetes and tested his urine, which was positive for glucose and ketones. A random capillary blood glucose level was 25.0mmol/L and blood ketone level was 1.5mmol/L. Zach was advised to attend the hospital emergency department immediately. 

Social history 
Zach lives with his mother (Susan), father (John) and 10-year-old brother (Jacob). He is in year 10 at high school and works at McDonald's on a casual basis. Zach plays cricket on the weekends and trains two days during the week. 

Emergency department review 
Two hours after review by the local doctor, Zach's capillary blood glucose level (BGL) was 26.0mmol/L and blood ketone level was 1.6mmol/L. Other vital signs were within normal limits. After review by the endocrinologist, Zach was given a provisional diagnosis of type 1 diabetes based on his symptoms and family history of autoimmune disease (His mother has hyperthyroidism, Graves' disease). His blood test confirmed that he did not have ketoacidosis. 

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