From the report, what clinical manifestations did the nurse obtain that indicate diabetes mellitus type 1? What additional report information would the nurse need before beginning care for Billy?

Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
Section: Chapter Questions
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Speaker1: Emergency department, How may I help you?

Speaker2: hi, my name is jolene, I am the nurse from the pediatric medical surgical unit?May I speak to the nurse who’s talking care of my new admission,Billy Stewart?

Speaker1:yes ,I will page her.

Speaker 3: hello, this is Debbie.

Speaker 2: Hi this is  jolene, I am the nurse from the pediatric medical surgical floor. I will be admitting Billy Stewart. He is the 12 year old with diabetes.Can you give me the report?

Speaker3: yes, Billy came into the emergency department at 7:30 with a three day history of sore throat and increased thirst.He also had a frontal headache and his appetite was decreasing, and also he lost 20 pounds in last one month. The provider saw him earlier this morning, and his urnie was positive for ketones and glucose. The physician in the emergency department said billy was dehydrated and diagnosed him with type I diabetes.Right now, his vital signs are temperature 98.9, pulse 83, respiration 17, Blood pressure 100 over 43, and 02 sat of 98% on room air.he weighs 150 pounds, and his height is 62 inches.Blood glucose by gulcometer is 497, and his laboratory reports are sodium 129, chloride 90, and glucose 535. His hemoglobin Alc was 10.2, and venous blood gas is a PH of 7.17. PCO2 IS 37.PO2 IS 55.3. HCO3 is 23.3 and base excess is 1.4.

 

Respond to the challenge

From the report, what clinical manifestations did the nurse obtain that indicate diabetes mellitus

type 1? What additional report information would the nurse need before beginning care for

Billy?

 

 

 

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