Published Sep 13, 2015
ashleylea
9 Posts
I am not a nurse but I knew this would be the perfect place to ask help with my anatomy homework. My teacher told our class it would be easier to ask someone in the health professional career field if we were having trouble with the questions. I hope you guys don't mind! We were given a scenario and have to answer two questions in great detail. I've been working on these for 11 hours but came up with nothing.
Scott, an overweight, unconscious 10-year-old boy is rushed to the ER by his father at 7:00 a.m. Upon first examination the boy appears comatose. He has a very low blood pressure (80 over 50) and a rapid heart rate (120 bpm), classic signs of hypovolumic shock. A quick oral history indicates that the boy has recently been diagnosed with type-2 diabetes, has been put on a low carb diet, and prescribed twice-daily insulin injections. Scott was non-responsive when the father tried to wake him for school.
Additional oral history is that Scott was at his Grandma Louise's house yesterday evening from supper time until 11:00 p.m Grandma Louise swears Scott only had a plate of spaghetti and garlic bread but no sweets and she gave him a syringe of insulin right before dinner. Since he doesn't like shots, she let him take the insulin orally. She also thinks he may have a bladder infection since he was in the bathroom a lot last night "Passing water". She gave him several glasses of cranberry juice cocktail to help.
*Emergency room diagnosis is nonketotic hyperglycemic-hyperosmolar coma
Q: Consider both the changes in blood pressure and osmolarity and discuss what is happening to organs such as the liver and brain.
Q: To stabilize Scott's condition, choose between fluid treatment( IV solutions) and insulin treatment and why?
Rose_Queen, BSN, MSN, RN
6 Articles; 11,935 Posts
My teacher told our class it would be easier to ask someone in the health professional career field if we were having trouble with the questions.
I'm sorry, but if this quote is accurate, your professor is a sorry excuse for a professor. He or she is the one responsible for your learning and is shirking that responsibility.
That being said, an anonymous website really isn't the best place to be asking for help. You have no way of knowing that anyone responding truly has the knowledge and experience to answer correctly. Have you tried looking through your textbook, looking up articles in journals, or going to reputable websites such as the American Diabetes Association?
icuRNmaggie, BSN, RN
1,970 Posts
The boy is dry as a dog biscuit as they say due to polyuria. The altered mental status tachycardia and hypotension are all due to dehydration.
Tell me what HHNK stands for and what causes it.
This info in not in our textbook. It's more of a research question but I have been researching for 11 hours and not have found any info other than that he needs IV fluids. I have no healthcare knowledge and I have no friends or family that are nurses or doctors so that's why I joined here. No harm intended.
FlyingScot, RN
2,016 Posts
What are you studying to be? This seems like a rather complicated question for a basic anatomy class.
Dental hygienist. It is a complicating scenario. Nothing we've went over. I have no healthcare experience so this is like a foreign language to me. It is a quiz grade but I'm considering taking a loss for this one. I can't even pretend or make up an answer!
Whaaaaatt?! They're asking you these kind of questions? That's ridiculous.
Barnstormin' PMHNP
349 Posts
Sounds like nursing homework.
It's only A&P I and second week of class :/
I could certainly answer the questions for you but frankly if it really is for anatomy and only your second week the answers are going to go way over your head and won't be of any help. Not because you aren't smart enough to understand it but because it's pretty complicated and requires understanding of chemistry, basic physics, advanced anatomy and emergency medicine. Are you sure you're taking the right quiz because something seems really off.
OCNRN63, RN
5,978 Posts
She gave him his insulin orally?
I totally forgot about that. So she'll need pharmacology as well. This doesn't make sense.