Bachelor of Nursing : Case Study

Running head: BACHELOR OF NURSING
Bachelor of Nursing
Name of the Student
Name of the University
Author Note

BACHELOR OF NURSING
1
1. From the case study, it is reported that the Sarah was prescribed to use
insulin as a treatment of diabetes type 1. In this autoimmune disease the
insulin secreting pancreatic beta cells are destroyed by the T cells and as a
result, there is not adequate amount of insulin production in the body. Due to
less amount of insulin present in the body, the blood glucose level is
enhanced. The activation of the insulin after binding with the insulin
receptors, insulin stimulate the glycogen synthesis in the liver and thereby
reduce the high concentration of blood glucose (Gradel et al., 2018).
2. a) According to the Bullock and Manias (2017), it is reported that, the onset
time of Novorapid is almost 0-0.25 hours. Peak effect of this medicine is 1-3
hours and the duration of action for this medicine is almost 3.5- 5 hours.
b) Insulin associated with reduction of blood glucose levels of the body.
Hence, if the subcutaneous insulin is absorbed in the body in an empty
stomach, then the blood glucose levels of the body will be lower than that of
the normal blood glucose levels of the body. So, before administering the
subcutaneous novorapid, eating of food is recommended (Bullock, S., &
Manias, 2013).
3. a) Hypoglycaemia refers to the lowering of the blood glucose levels than
that of the normal levels of the body’s blood glucose level. This condition is
mainly related to the treatment the diabetes.
b) The main reason of developing hypoglycaemia is associated with the
reduction of the blood glucose levels in the body. In case of a diabetic patient
application of external insulin may reduce the amount of blood glucose levels
to a very low level and thereby causes hypoglycaemia (Shah, Rahman,
Demirbilek, Güemes, & Hussain, 2017).

BACHELOR OF NURSING
2
c) The main symptoms of hypoglycaemia are as follows-
 Pale skin
 Anxiety
 Sweating
 Irritability
Irregular heart rhythm and weakness (Shah, Rahman, Demirbilek, Güemes,
& Hussain, 2017).
d) After noticing the signs of hypoglycaemia among the patients,
immediately, sugar lump, candy, fruit juice should be given to the patients to
raise the blood glucose level (Shah, Rahman, Demirbilek, Güemes, &
Hussain, 2017).
4. a) According to the case study of Sarah, it is reported that, Sarah is only 5 years
old child. According to the standardized guidelines of insulin pen needle size, it can
be stated that, in case of children under the age group of 2-6 years, a needle of 4mm
length can be used. So, in case of Sarah, the needle of 4 mm length can be used
(Australian Diabetes Educators Association, 2015).
b) The length of needle is crucial as a longer needle may cause fear in the individual
and as a result the patient may have fear and thereby may refuse to take the insulin
treatment. So, it is very crucial to use appropriate needle (Australian Diabetes
Educators Association, 2015).
5. Before delivering insulin injection to the patients it is very crucial to measure the
blood glucose level the patients. According to the study of Gradel et al. (2018), it is
reported that, the concentration of the blood glucose level may alter before and after
meal condition of the patients. Hence, after taking foods, the blood glucose level