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?
I don't think you should take a 0. Turning in something is always better than nothing and everyone is going to struggle so there will probably be a wicked curve. As far as fluid, I'll give you that one because I had to check UpToDate which I only have the privilege of checking due to my work's subscription. But the IV fluid choice is saline. Good old normal saline.
Does your school have research librarians that may be able to help? Your school may have an UpToDate subscription. There's lots of good info on there.
Good lord! We're about in the same place in A&P and I couldn't even begin to think of an answer. We don't have anywhere near the required knowledge for this complex of a situation, what's your professor thinking?! I agree with the other posters, this is ridiculous.
Well, your instructor may have tried to pull one over on you kids, but suggesting you go to real health professionals was her undoing. As explained, this scenario is ridiculous (though Grandma Louise giving insulin orally in entirely within the realm of real life possibilities) and waaaay too advanced for a second week anatomy class.
I agree, turn something in. Everyone in your class is going to have difficulty with an answer so make yours creative along the lines of "that shrunk up dehydrated brain and liver gonna need some pure normal saline to plump 'em up good and Grandma Louise don't know diddle about the sugar diabetes or bladder infections for that matter and must be trying to kill that boy"
.........or are you just pulling our chain...... Don't keep us in suspense.
I turned "something" in. I literally put something along the lines of the liver and brain lost water and need water to function. The brain shrunk ...blah blah blah. Scott needs saline solutions...The end!! LOL.
We have one more of these " Problem based learning" assignments. I can only imagine what the next one will be like! Thanks for your inputs! I had a good laugh :)
"His mouth is dry dry dry and the pee on that floor is sticky like molasses.
His blood is concentrated meaning the osmolarity is high. He needs a normal body concentration iv solution given carefully that stays in his blood vessels and won't cause his brain to swell.
Rapid fluid shifts in the brain are bad and can cause swelling and brain damage.
His liver stores of glycogen that stimulates the pancreas be all used up. But he don't need no insulin right yet because that sugar comes down once he has some iv fluid in his system."
Please make an appointment with the department head who oversees this instructor. S/he needs to know what the instructor is teaching, assigning and how s/he is evaluating students.
Please make an appointment with the department head who oversees this instructor. S/he needs to know what the instructor is teaching, assigning and how s/he is evaluating students.
Problem based learning rears its ugly head. Again! This needs to be taken to someone higher in the department. Maybe two weeks before the END of the course, but it is certainly not appropriate for two weeks from the START of this course.
I haven't read responses yet, but I REALLY hope I'm not the only one bothered by this claim!!
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?
Well, I give you complete kudos for being straightforward and honest, rather than trying to trick posters into doing your homework!!! I applaud your honesty =)
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.
I have to agree with the general consensus about your professor being a lousy instructor. It is her job to teach you anatomy and physiology and to set you up for success. She seems to be doing neither. I'd definitely inform the Dean or Department head. Someone, anyone
TheCommuter, BSN, RN
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