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TASK

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.

Medical history Sarah's parents visited their local doctor after noticing that Sarah had increased appetite and excessive thirst. She has been unusually tired lately, often falling asleep at school. She has lost 5 kilograms of weight over a two week period (22kg down to 17kg) and has been frequently urinating at night often wetting the bed. The doctor suspected type 1 diabetes and tested her 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. Sarah's parents were advised to attend the hospital emergency department immediately.

Question 1. Explain why Sarah has been prescribed insulin. Relate to the pathophysiology of type 1 diabetes and the mechanism of action of insulin. Support your answer with academic references. 

Question 2. What is the onset, peak and duration of action for Novo Rapid insulin according to Bullock, S., & Manias, E. (2017). Fundamentals of pharmacology

b) When should NovoRapid be administered in relation to food and why? Support your answer with academic references. 

Question 3.  Define hypoglycaemia b) What causes hypoglycaemia? c) What are the symptoms of hypoglycaemia? d) How is hypoglycaemia treated? Support your answer with academic references. 

Question 4.  What is the most appropriate insulin pen needle length for Sarah? b) Why is this length appropriate? Support your answer with academic references. 

Question 5. Why does Sarah require a blood glucose level (BGL) test prior to an insulin injection? Support your answer with academic references. 

Question 6.  What is an appropriate site on Sarah's body to inject the Novo Rapid insulin? b) What injection angle is appropriate for Sarah? c) Why are these appropriate for Sarah? Support your answer with academic references. 

Question 7. When would Sarah's BGL need to be tested after administration of Novo Rapid? b) Why would a BGL be required at that time? Support your answer with academic references. 

Question 8.  Discuss the daily physical challenges of living with type 1 diabetes that Sarah may face. Support your answer with academic references. 

Question 9.  Discuss potential emotional impacts of living with type 1 diabetes that Sarah may face. Support your answer with academic references. 

Language Use

 Sentences are well constructed, expression and meaning is clear, basic written language rules are followed.

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  • Uploaded By : Keith
  • Posted on : July 29th, 2018
  • Downloads : 435

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