.
CONCEPT MAP WORKSHEET
DESCRIBE DISEASE PROCESS AFFECTING PATIENT
(INCLUDE PATHOPHYSIOLOGY OF DISEASE PROCESS)
Insulin is a hormone secreted by beta cells, which are one of four types of cells in the islets of Langerhans in
the pancreas. Insulin is an anabolic, or storage, hormone. When a person eats a meal, insulin secretion
increases and moves glucose from the blood into muscle, liver, and fat cells. In those cells, insulin transports
and metabolizes glucose for energy stimulates storage of glucose in the liver and muscle signals the liver to
stop the release of glucose, enhances storage of dietary fat in adipose tissue, accelerates transport of amino
acids into cells, inhibits the breakdown of stored glucose, protein, and fat.
Diabetes Type 1: It is characterized by the destruction of the pancreatic beta cells.
Diabetes Type 2: It is insulin resistance and impaired insulin secretion. Insulin resistance refers to a
decreased tissue sensitivity to insulin.
DIAGNOSTIC TESTS PATIENT INFORMATION ANTICIPATED PHYSICAL
(REASON FOR TEST AND RESULTS) FINDINGS
Fasting Blood Glucose (blood glucose Skyler Hansen is an 18-
determination obtained in the year-old male, diagnosed Fatigue and weakness, sudden
laboratory after fasting for at least 8 with Type 1 Diabetes 6 vision changes, tingling or
hours), random plasma glucose, and numbness in hands or feet, dry
months ago. He was
glucose level 2 hours after receiving skin, skin lesions or wounds that
brought to the ER by his are slow to heal, and recurrent
glucose (2-hour post load) may be
used. HgbA1C (A1C), Fasting lipid friends, the patient has not infections. The onset of type 1
profile, Test for microalbuminuria, eaten over 5 hours and is diabetes may also be associated
Serum, creatinine level, Urinalysis, drowsy, wakes with with sudden weight loss or
Electrocardiogram. stimulus, has slurred nausea, vomiting, or abdominal
An abnormally high blood glucose speech, is diaphoretic, and pains, if DKA has developed.
level is the basic criterion for the is acting irrationally.
diagnosis of diabetes.
ANTICIPATED NURSING INTERVENTIONS
- Administer prescribed medications on time
- Provide glucose checks before meals
- Offer a snack to patient after administering insulin to avoid hypoglycemia
- Asses patient LOC to make sure they don’t go into DKA
, vSim ISBAR ACTIVITY STUDENT WORKSHEET
INTRODUCTION Vanessa Forrest, RN, Emergency Department
Your name, position (RN), unit you are
working on
SITUATION Skyler Hansen, 18 year-old-male, was brought to the Emergency
Department by his friends because he started acting “weird” while they
Patient’s name, age, specific reason for visit were playing basketball, they also stated he had not eaten anything for
5 hours.
BACKGROUND Primary: Type 1 Diabetes (diagnosed 6 months ago)
Date of Admission: 4/16/2020
Patient’s primary diagnosis, date of Current Orders:
admission, current orders for patient -The patient has 1-amp (50ml) Dextrose 50% in water IV push slowly.
-For BS less than 70 after given then another dose can be repeated. -A
BMP was ordered, and fingerstick glucose monitoring PRN.
ASSESSMENT The patient is drowsy, wakes with stimulus, has slurred speech, is
diaphoretic, and is acting irrationally. The patients’ blood sugar is
Current pertinent assessment data using head 58mg/dL. The patient is not AAO x 3, he is very unoriented.
to toe approach, pertinent diagnostics, vital Vital signs
BP: 128/76,
signs
HR:93,
RR: 19,
O2: 96%,
T: 99F, his skin is clean and intact but very sweaty to touch
RECOMMENDATION The patient should be under continuous observation, to continue
to monitor his blood glucose level to avoid hyper or hypoglycemia.
Any orders or recommendations you may have Avoid the patient having to experience rebound hypertension if too
for this patient much dextrose is given to him.
CONCEPT MAP WORKSHEET
DESCRIBE DISEASE PROCESS AFFECTING PATIENT
(INCLUDE PATHOPHYSIOLOGY OF DISEASE PROCESS)
Insulin is a hormone secreted by beta cells, which are one of four types of cells in the islets of Langerhans in
the pancreas. Insulin is an anabolic, or storage, hormone. When a person eats a meal, insulin secretion
increases and moves glucose from the blood into muscle, liver, and fat cells. In those cells, insulin transports
and metabolizes glucose for energy stimulates storage of glucose in the liver and muscle signals the liver to
stop the release of glucose, enhances storage of dietary fat in adipose tissue, accelerates transport of amino
acids into cells, inhibits the breakdown of stored glucose, protein, and fat.
Diabetes Type 1: It is characterized by the destruction of the pancreatic beta cells.
Diabetes Type 2: It is insulin resistance and impaired insulin secretion. Insulin resistance refers to a
decreased tissue sensitivity to insulin.
DIAGNOSTIC TESTS PATIENT INFORMATION ANTICIPATED PHYSICAL
(REASON FOR TEST AND RESULTS) FINDINGS
Fasting Blood Glucose (blood glucose Skyler Hansen is an 18-
determination obtained in the year-old male, diagnosed Fatigue and weakness, sudden
laboratory after fasting for at least 8 with Type 1 Diabetes 6 vision changes, tingling or
hours), random plasma glucose, and numbness in hands or feet, dry
months ago. He was
glucose level 2 hours after receiving skin, skin lesions or wounds that
brought to the ER by his are slow to heal, and recurrent
glucose (2-hour post load) may be
used. HgbA1C (A1C), Fasting lipid friends, the patient has not infections. The onset of type 1
profile, Test for microalbuminuria, eaten over 5 hours and is diabetes may also be associated
Serum, creatinine level, Urinalysis, drowsy, wakes with with sudden weight loss or
Electrocardiogram. stimulus, has slurred nausea, vomiting, or abdominal
An abnormally high blood glucose speech, is diaphoretic, and pains, if DKA has developed.
level is the basic criterion for the is acting irrationally.
diagnosis of diabetes.
ANTICIPATED NURSING INTERVENTIONS
- Administer prescribed medications on time
- Provide glucose checks before meals
- Offer a snack to patient after administering insulin to avoid hypoglycemia
- Asses patient LOC to make sure they don’t go into DKA
, vSim ISBAR ACTIVITY STUDENT WORKSHEET
INTRODUCTION Vanessa Forrest, RN, Emergency Department
Your name, position (RN), unit you are
working on
SITUATION Skyler Hansen, 18 year-old-male, was brought to the Emergency
Department by his friends because he started acting “weird” while they
Patient’s name, age, specific reason for visit were playing basketball, they also stated he had not eaten anything for
5 hours.
BACKGROUND Primary: Type 1 Diabetes (diagnosed 6 months ago)
Date of Admission: 4/16/2020
Patient’s primary diagnosis, date of Current Orders:
admission, current orders for patient -The patient has 1-amp (50ml) Dextrose 50% in water IV push slowly.
-For BS less than 70 after given then another dose can be repeated. -A
BMP was ordered, and fingerstick glucose monitoring PRN.
ASSESSMENT The patient is drowsy, wakes with stimulus, has slurred speech, is
diaphoretic, and is acting irrationally. The patients’ blood sugar is
Current pertinent assessment data using head 58mg/dL. The patient is not AAO x 3, he is very unoriented.
to toe approach, pertinent diagnostics, vital Vital signs
BP: 128/76,
signs
HR:93,
RR: 19,
O2: 96%,
T: 99F, his skin is clean and intact but very sweaty to touch
RECOMMENDATION The patient should be under continuous observation, to continue
to monitor his blood glucose level to avoid hyper or hypoglycemia.
Any orders or recommendations you may have Avoid the patient having to experience rebound hypertension if too
for this patient much dextrose is given to him.
