Write a concept map/ nursing care plan. Include:
– 3 NANDA nursing diagnosis/problems
– 5 nursing interventions with scientific rationale (add references)
– Write relevant medications + abnormal lab results + key assessments related to diabetes keto acidosis (DKA) type 1 diabetes mellitus – in an 11 year old child. – some values will have to be made up.
– Be sure to fill out every box in the assignment. Do not leave anything in blank.
– Be aware turnitin will be activated to monitor for plagiarism. You should have 20% or less similarity in your report.
Scenario: (from shadow health)
Chelsea Warren is an 11-year-old girl who was brought to the ED at 8:30 PM two days prior as
she was experiencing the symptoms of diabetic ketoacidosis. After she was stabilized, Chelsea
was diagnosed with type 1 diabetes mellitus. This simulation takes place on the third day of Chelsea’s hospital admission.
Dx: Brought in by father for dizziness, vomiting.
Confirmed DKA and type 1 diabetes mellitus.
Condition: Stable
Allergies: None
Current Active Orders:
1. Vital signs every eight hours
2. Diet: 1600 ADA
3. Point of care finger stick blood glucose AC and
HS
Labs:
• Complete Metabolic Panel QAM
• Complete Blood Panel QAM
• Hemoglobin A1C on admission
• C Peptide on admission
• Urinalysis on admission
Inpatient medication orders:
• Insulin Glargine 5 units subcutaneous q HS
• Insulin Lispro – sliding scale, administer
subcutaneous g AC
• BG 125 – 174 = 1 unit subcutaneous
• BG 175 – 224 = 2 units subcutaneous
• BG 225 – 274 = 3 units subcutaneous
• BG 275 – 324 = 4 units subcutaneous
• BG 325 – 374 = 5 units subcutaneous
• Discontinued O.9% NaCI IV
• Discontinued Regular Insulin 0.1 units/kg/hour
continuous IV drip
