BookmarkBookmarked CASE STUDY SCENARIO Samuel is a 52yearold

BookmarkBookmarked

CASE STUDY SCENARIO

Samuel is a 52-year-old, Aboriginal male from the Cree Community in Attawapiskat, who comes to the Emergency Department with his wife of 20 years. Samuel and his wife are Aboriginals and live on a reserve in Northern Ontario. Samuel has been complaining of nausea and vomiting over the last 3 days, and his wife states he seems confused at times. His blood sugar on arrival to the department is 21.6 mmol/L. The client has already been started on regular insulin (Humulin R) via SQ route, and he will be admitted for further investigation and diagnostic purpose.

This is a new diagnosis of diabetes for Samuel, and he is very anxious. Samuel is 5 feet 9 inches tall and weighs 177 pounds. He reports no form of regular exercise or special diet. Samuel’s daily diet entails carbohydrate dense foods and high glycemic index beverages. For the past 4 months, his wife has noticed that her husband has been very thirsty, and goes to the bathroom every 30 minutes.

Questions

The nurse is about to give a dose of Humulin R to Samuel. Another nurse enters the medication room and states, “That insulin is cloudy, do not use it.” The primary nurse responds by saying, “It is supposed to look this way.” Who is right?

Explain and References must be within 5 years

Solution

According to me the secondary nurse who entered the room must be right because as the insulin was cloudy it can be due to many reasons like the insulin might have got destroyed or the protein have denatured or precipitated due to which the cloudy appearance came. This insulin will not work properly and can form aggregates inside the body causing the harm to body.!!