Introduction
The patient had been hospitalized with high blood sugar levels of 128 mg/dl on two separate tests indicating he had a diabetic condition. She had been pre-diabetic for the last few months. However, despite several interventions, the patient developed diabetes. Additionally, she also had an upper respiratory disease that interfered with her daily tasks. Upon admission, the patient had bradypnea which is an abnormal breathing rate of ten breaths per minute. Notably, she had increased her breaths per minute to twenty-eight in the previous forty-five minutes. The possible interventions had been performed on the patient but was not been helpful or effective. For instance, inhalers, oxygen, and breathing treatments had been used on this patient with no significant change in the vitals. Moreover, the body temperatures of this patient were thirty-nine degrees Celsius upon admission. Various interventions had been undertaken to try to lower the temperatures at no change. The patient also claimed to have a migraine headache which we tried intervening with the use of pain relievers. Twenty minutes after the administration of pain relievers, her headache stabilized.
Background
Mary is sixty-five years of age and she was diagnosed with prediabetes three months ago. Possible interventions to prevent the development of diabetes type two were unable to succeed. For the previous three months, Mary was under medication, maintaining a healthy diet, and doing the recommended physical exercises. Mary is a mother of two girls and one boy. Mary’s son who is eleven years old was born with a diabetic condition. The patient and her family reside near industrial areas. The condition of the residential place can be attributed to respiratory infection because of industrial-produced gases. Recently, Mary has been stressed over her firstborn daughter who divorced a month ago. Julian, her firstborn daughter, has requested to be informed in case of any patient change in the current condition. It should be noted that Mary’s earlier illnesses are related to the situation she is experiencing currently. Additionally, her locality affects the identified respiratory infection.
Assessment
The patient’s blood sugar levels and temperature have gone up for the last forty-five minutes. The normal intervention associated with using insulin to control hyperglycemia has been ineffective in this patient. Normally, insulin is used to control hyperglycemia for inpatients in critical conditions (Dhatariya et al., 2020). Variable rate of intravenous insulin infusion has been administered at no significant change on the vitals. As for the high-temperature control, the patient has been allowed to rest to minimize unnecessary use of energy, which may be the possible cause of high temperatures. Paracetamol and ibuprofen have been administered to lower the high temperatures. Additionally, more fluids have been recommended to the patient in form of water and juices. However, all these interventions have not brought any significant change. As for respiratory infections, breathing treatment and inhalers have been ineffective in correcting the condition. The migraine headache was relieved using painkillers a few minutes after the patient’s admission.
Conclusion and Recommendations
The physician should be called immediately to assess the patient’s condition further. The doctor may change the medical prescription of the patient if that could address her health situation. The patient can be requested to stay without food for some time to check if the blood sugar levels can reduce. As for the fever, the room needs to be aerated and medication changed. The respiratory infection should be attended to by immediate intubation. A physician or the rapid rescue team should be notified to further assess the patient. A change in breathing treatment prescription should be adopted because the patient’s body could be resistant to the already-used medication.
Reference
Dhatariya, K., Corsino, L., & Umpierrez, G. E. (2020). Management of diabetes and hyperglycemia in hospitalized patients. Endotext [Internet]. Web.