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- Glucose level @0700 = 7.2mmol/L (H)
- BG @ 1100  = 6.4mmol/L (normal)
Chemistry general: Lipase (111)

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- Mother at bedside most of the day & throughout night
- Lives with brother (8 years old), father and grandparents
- Grandpa in to visit with brother on occasion
- Dad works in surrey and is not at home much, does not come visit S.T in hospital

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-Independent with diabetes management
- Close with mother
- Coping strategies: Writing in her journal
- Inquisitive about disease/interventions

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- Sabrina, T.
- 14 y/o female
- 57.6 kg
-  Hx of type 1 diabetes (uncontrolled), DKA admissions X7 (in past year), diagnosed w/ pancreatitis sept. 9th
- Admitted Sept. 23rd to emergency for abdominal pain & continuous/uncontrolled vomiting (X3 weeks, --> vomiting as soon as she eats or drinks anything)
- Weight loss of 4kg in 3 weeks
- Current dx: Abdominal pain NYD
- Admitted for pain management, IV fluid re hydration & bowel rest

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- D5NS @ 100mL/hr

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-  RUQ dull, achy, 5/10 . pain at rest, radiating to back
- Stabbing, achy 7/10 abd. pain with movement radiating to back

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Motor Strength:
-  Weak extension/flexion of feet to applied force
- Movement of arms/legs overcome gravity with some resistance

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- Skin turgor: 2 second return (slightly less than normal)
- Diaphoretic
- Pale skin color
-Hot/warm to touch
- Dry mucous membranes

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- Urinalysis positive for glucose + Ketones
- Voiding frequently

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- Bowel sounds hypo-active X4
- LBM 28 hours prior (at home 3-4 BM yellow liquid, Steatorrhea stool per day X3 weeks)
- Pain/tenderness upon palpation to abdomen especially RUQ
- Nausea, inability to eat
- Vomiting after eating X3 weeks each time
- Emesis (small, bile) X1 on shift
- NPO

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- Cap refill: 2 seconds
- HR: 112 bmp
- BP: 98/73
- Weak peripheral pulses to all extremities

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RR: 17 rpm
O2 sat: 98% on RA
Lung field clear
BG Levels: VBG CO3 17mmol/L

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- Alert & oriented X3
- Lethargic
- Irritable
- Weak bilateral hand grip

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-  Ibuprofen 400mg Q6H
-  Acetaminophen 1G Q6H
-  Tresiba 125 U s/c HS (insulin)
- Humalog Lispo pre meals
- Creon Pancreatic Enzymes 100,000 U Lipase w/ meals
- Dimenhydrinate 25-50mg PO/IV Q4-6H  PRN
-  Ondansetron 8mg IV once daily PRN
- Morphine 2-4mg IV Q4-6H PRN