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[Verified Answer]: Identify the actual and potential nursing…

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Identify the actual and potential nursing concerns for this person, and explain the rationale behind your clinical decision making: Akmal Muhammad is a 15-year-old male who was admitted to the Flinders University Paediatric ward last night for observation following an exacerbation of asthma symptoms while experiencing a panic attack. Akmal was treated with Salbutamol and Ipratropium via an MDI and was given a dose of IV hydrocortisone. Akmal is a refugee from Afghanistan and currently resides with his mother, Asal. Akmal’s past medical history includes: Asthma Post-Traumatic Stress Disorder (PTSD) Type 1 Diabetes Mellitus (T1DM) Akmal manages his diabetes with a Humalog insulin pump and has recently commenced using a continuous glucose monitor (CGM). Akmal reports that he manages his insulin pump independently, although he has been experiencing some difficulties with it lately. When you enter Akmal’s room to complete routine observations, you notice he appears unusually pale and lethargic. Two large, empty water bottles sit beside him, and he reports feeling increasingly thirsty, needing to urinate more frequently, and experiencing a persistent headache. As you approach, you detect a distinct fruity odour on his breath. Medications: · 100mg IV Hydrocortisone 6 hourly · 12 puffs Salbutamol via MDI 1 hourly PRN · 8 puffs Ipratropium via MDI 4 hourly PRN · Humalog Insulin continuous subcutaneous infusion (via insulin pump).

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