Concept map/ nursing care plan
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.
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
