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- 4. May take a drug that sensitize cells or increase insulin releas 7- A client with a diagnosis of diabetic ketoacidosis (DKA) is being treated in the ER. Which finding would a nurse expect to note as eonfirming this diagnosis? 1) Elevated blood glucose level and a low plasma bicarbonate 2. Decreased urine output 3. Increased respiration and an increase in pH 4. Comatose state1. What non- pharmacotheraples could be implemented in type 2 mellitus.2. If applicable , explain what diagnostics / labs one should consider when implementing new pharmacotherapies for a patient with type 2 diabetes.3. What are expected outcomes/ goals for this patient with type 2 diabetes.4. Identify at least 3 of the most common complications related to type I diabetes mellitus and what nursing actions would you do to prevent or mitigate these complications COMPLICATIONS NURSING ACTION ng actions would you do to prevent or mitigate these complications.
- Patient is a 55 year old female with a diagnosis of diabetes. She was diagnosed when she was 50 aftershe changed jobs and became more sedentary and which also resulted in a poor diet. She currentlyoverweight with a BMI of 32.Allergies NKDACurrent MedicationsMetformin 1000 mg BIDLisinopril 10 mg once dailyPMH Propranolol 10 mg TIDDMHTN1. What type of diabetes does she have?2. Describe the mechanism of action of metformin. In which patients is metformin contraindicated?3. List some non-pharmacologic measures that can lower her blood sugar?4. List the long term complications of DM5. What role does Lisinopril have in patients with DM?6. What concerns do you have with the propranolol?7. Despite her medication regimen, her blood sugar has been very, very high and her physician decidedto start a long acting insulin. Which insulins are long acting?3. Describe the diagnostic studies for type I diabetes mellitus. Diagnostic Test/Lab Rationale Results/Priority?Prepare a teaching plan for your client who is receiving levothyroxine therapy. Be sure to include how to prevent myxedema coma and outline the expected outcomes of successful hypothyroid therapy.
- 3. Enumerate the purposes of regular blood sugar monitoring in Type 2 Diabetes Mellitus 4. Discuss how obesity or weight gain increases the risk of developing Type 2 Diabetes Mellitus. 5. Upon reviewing the record of the patient in the given case, which of the medication stated on the list causesdiabetes and weight gain? Explain the mechanism of causing the said adverse effects.. A 32 year old G2P1 (1001) seeks consult at 6 weeks AOG for initial obstetric visit. Her previous child had a spina bifida. How much folate should be given to prevent NTD’s in her current pregnancy? 40 micrograms’day There is insufficient evidence that follate can prevent NTDs 40 milligrams/day 4 milligrams/day 400 micrograms/dayPhysical Concerns Reason for the physical concern IS 1. Nausea and A. Increased prolactin levels for milk production vomiting B. relaxation of GI muscle tone due to elevated ERS 2. Heartburn progesterone level C. Increased appetite 4. physiologic anemia D. relaxation of cardiac sphincter or anxiety 5. Enhanced Appetite E. Secretion of nutrient into breastmilk 3. Increase BMR 6. Calcium F. This is due to increase in oxygen consumption Homeostasis related to increase cardiac output and due to 7. Constipation 8. Postpartum weight G. Circulating volume increase by 30-50%, Total increase oxygen needs of the placenta retention body water increases 9. Inadequate weight H. vomiting gain I. Energy intake more than the required 10. Excessive weight (there are only 9 choices) gain
- 2. A 55-year-old male client admitted to the healthcare facility complains of excessive thirst, urination, hunger, and numbness and tingling in the extremities. His fasting plasma glucose levels obtained on two different occasions are 136 mg/dL and 145 mg/dL. A diagnosis of type 2 diabetes is made. a. What data would the nurse need to gather before preparing a dietary plan for this client?b. What instructions should the nurse provide to the client regarding dietary restrictions? 123. The wife of a 48-year-old diabetic client, who was discharged from the healthcare facility a week ago, calls the telehealth service. She sounds worried and says her husband has been showing strange symptoms, such as confusion, nervousness, and excessive hunger, for the past 2 days. He has also been complaining of blurred vision and dizziness. She tells the nurse that she had been administering insulin to her husband as directed by the healthcare provider but is not sure of the cause of his condition.a.…1.In not more than five(5) pages, discuss the role of nutrition in the management ofdyslipidemia and diabetes.Indicate how the nurse can facilitate the nutritionalinterventions.SubjectiveChief Complaint: “I was recently diagnosed with possible diabetes and would like to have my blood sugar tested. I think that my blood sugar is running low because I have a terrible headache.” HPI: Sarah Martin is a 43-year-old woman who comes to the pharmacy for a diabetes education class taught by thepharmacist. She would like for the pharmacist to check her blood sugar before the class begins. She was diagnosed with diabetes mellitus Type 2 about 6 months ago. She has been attempting to control her disease with diet and exercise but has had no success. Her physician has recently started her on glyburide 5 mg. She has gained 15 lb. over the past year. She monitors her blood sugar once a day, per her physician, with a range of 215–260 mg/dL. Her fasting blood sugars average 170 mg/dL. PMH: Type 2 DM × 6 months, HTN × 15 years, bipolar disorder × 25 years, Dyslipidemia × 10 years, Morbid obesity × 15 yearsFH: Father has a history of HTN and bipolar disorder. The mother has a…