Question

Type 1 Diabetes Mellitus Susan is an 8-year-old girl who has been brought to her pediatrician by her mother for a weight loss of 5 pounds over the past 2 months, despite an increased food intake. Subjective Data Susan complains of thirst, hunger, and frequent voiding. Objective Data Today’s weight: 25 kg Weight from a physical examination 6 months ago: 27.3 kg Fingerstick glucose: 325 Hemoglobin A1c: 9.1 Urinalysis: glycosuria pH: 7.34 Father was diagnosed with type 1 diabetes at age 8 years.

What actions should the nurse take in this situation? Prioritize the actions.

Answer 1

Nurses roles

1. Assessment of parents and child's understanding of the disease is important.and role of family history in disease development.
2. Type1 diabetes child will receive lifelong insulin dose , and administration from home has to be demonstrated with effective tools.
3. Promote proper techniques of insulin administration including drawing insulin into the syringe, rotating vial instead of shaking, drawing clear insulin first if mixing 2 types in the same syringe, injecting SC, storing insulin, rotating sites,adjusting dosages, reusing a syringe, and needle, and disposing of them etc.
4. Nurse have to teach regarding glucose monitoring especially before food and before going to bed.
5. Child's dietary changes need to be made.and plan a diet plan considering child's likes and dislike.
6. make parents understand that Kids who develop type 1 diabetes often lose weight even though they have a normal or increased appetite. Once kids are diagnosed and treated for type 1 diabetes, weight usually returns to normal.
7. Teach parents and child about skin
   problems associated with diabetes, need for regular dental examinations, foot care, protection of and proper care of nails, prevention of infections and exposure to infections, eye examinations, immunizations.
8. Instruct child to carry an identification card including disease condition physicians name and treatment.
9. Instruct parents to teach child regarding management of common complications of the condition ie. Hypoglycemia by carrying something sweet for any emergency attack.
10. Excersise regimen is also need to develop as it is important.