PEDS NR 328 ATI iSBAR Diabetes

I Introduce Your name: __ Megan Morgan _______ Your title: ___ Student Nurse _____ Today’s date: 10/04/20 S Situation Patient name: Derek Nelson Age: 12 Gender: Male Height/Weight: 148cm <50%, 40kg <50% Allergies: NKDA Code Status: Assumed FULL CODE Erikson level: Industry vs. Inferiority Piaget level: Concrete Operational Attending Healthcare Provider: Ty Harris, NP Chief Informant (caregiver): Mother History of Current Problem (What made patient seek treatment today): Mother reports the child has low energy and flu-like symptoms, Reports lethargy, generalized malaise, polydipsia, polyphagia, nocturia, and enuresis. Admitted from clinic with blood glucose 271mg/dL and urine positive for ketones. B Background Current meds: -Acetaminophen 325 mg PO every 4 hours PRN mild pain -Multivitamin - Insulin NPH/Regular mixture (70/30) 4 units before breakfast and at bedtime. -Insulin regular 4 units before lunch and dinner Reason for med: -Acetaminophen is used for mild pain management. The patient is a 12-yearold boy who pays sports and may experience mild pain. -Multivitamins are important for children to ensure they are receiving the necessary vitamins to grow properly. -Insulin regular/NPH is a mixed insulin with both short acting (regular) insulin as well as intermediate acting insulin. This is a conventional management for diabetes. The regular insulin is important for late morning and lunchtime blood glucose levels. While the Intermediate insulin is used for managing the late afternoon and dinner glucose values. (Hockenberry, Wilson, & Rodgers,