NUA 460 CLINICAL CASE STUDIES GROUP 4 WEEK 1 CASE STUDY Scenario T.R. is a 22-year-old college senior who lives in the dormitory. His friend finds him wandering aimlessly about the campus appearing pa le and sweaty. He e
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NUA 460 CLINICAL CASE STUDIES GROUP 4 WEEK 1 CASE STUDY Scenario T.R. is a 22-year-old college senior who lives in the dormitory. His friend finds him wandering aimlessly about the campus appearing pa le and sweaty. He engages T.R. in conversation and walks him to the campus medical clinic, where you are on duty. The friend explains to you how he found T.R. and says T.R. is “diabetic” and takes insulin. T.R. is not wearing a medical warning tag. It is 1015. 1. What do you think is going on with T.R.? a. Based on T.R.’s signs and symptoms, like the pale, sweaty appearance, as well as the 2. What is the first action you would take? 3. Which assessment findings would support the premise that T.R. is experiencing a hypoglycemic reaction? 4. If no glucose meter were available, would you treat T.R. on the assumption he is hyperglycemic or hypoglycemic? Explain your rationale. 5. It is 1025. T.R.'s glucose reading is 50mg/dL. What should your next action be? 6. When you enter the room to administer the juice, T.R. is not responsive enough to drink the juice safely. What should you do? 7. T.R. is breathing at 16 breaths/min and has a pulse of 112 beats/min and regular. Because outpatient resources vary, describe your next actions if (1) your clinic is well equipped for emergencies or (2) your clinic has no emergency supplies Case Study Progress A few minutes after administering 2mg glucagon, T.R. begins to awaken.
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