Prompt 1: Explain in detail the pathogenesis of DM ( Diabetes Mellitus) Type 1 & 2 and DKA (Diabetic ketoacidosis). Prompt 3:Describe treatments that would be used for DM and DKA. Patient Jolene Fernandez 42 overweight gastric by lass surgery history of presenting illness extreme nausea weakness in left foot frequent urination memory loss. High glucose she had a gastric bypass 6 years ago stational diabetes hypertension diagnosed with type 2 diabetes this year. Shes Diabetic ketoacidosis. Please correlate your responses to Ms. Fernandez’s case.
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Prompt 1: Explain in detail the pathogenesis of DM ( Diabetes Mellitus) Type 1 & 2 and DKA (Diabetic ketoacidosis).
Prompt 3:Describe treatments that would be used for DM and DKA.
Patient Jolene Fernandez 42 overweight gastric by lass surgery history of presenting illness extreme nausea weakness in left foot frequent urination memory loss. High glucose she had a gastric bypass 6 years ago stational diabetes hypertension diagnosed with type 2 diabetes this year. Shes Diabetic ketoacidosis.
Please correlate your responses to Ms. Fernandez’s case.
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- Situation: Mrs. Corona was diagnosed of Diabetes Mellitus Type II. She was admitted to the Emergency due to dizziness, headache frequency of urination at night and complained of very hungry. Her weight suddenly decreases for the past months from 140 lbs to 110 lbs also feeling tired and having dry skin. She sought admission due to the following signs and symptoms. Her hemogluco test (blood sugar) level is from 180 - 200mg / dl 2 hours after eating. The best and correct ecologic model for Mrs. Corona? a. Web Model b. Triangle model c. Wheel model d. All the choicesA 56-year old maintenance worker, with a past medical history of insulin-dependent diabetes, CHF, and hypertension, presents to the emergency room with lightheadedness, lethargy, and periods of confusion. Patient family members found him unconscious outside. Wife states, “he’s been at it for over a week now” Medications: Insulin, Lasix, Digoxin, and Vasotec: Vitals on admission were as follows : Temperature/ Pulse/ Respirations /Blood Pressure36.7C 118 18 103/61On examination, the patient has slurred speech with decreased upper and lowermotor strength bilaterally 4/5. While examining the patient, he experienced lossof consciousness that lasted less than half a minute. The nurse drew labs,administered oxygen via NC, Established IV line access and placed the patient on a monitor. Lab resultsElectrolytes – in emergency roomHematocrit – 38%Hemoglobin 12 gm/dLPotassium 3.3 mEQ/LChloride 95 mEq/LSodium 147 mEQ/LPhosphorus 2.6 mg/dLBicarbonate 21 mEq/LCalcium 7.6 mg/dLBUN 46 mg/dLCreatinine…At 8am, 52 year old female (patient X) is admitted to the medical ward you are assigned in due to uncontrolled hyperglycemia and a mild edema on her feet. She was previously diagnosed with Diabetes Mellitus type II. She has history of diabetes, hypertension and heart disease. You are assigned to her during the 6am-2pm shift. The attending physician ordered Diabetic Diet, Metformin 500mg tablet TID and a sliding scale of insulin if blood sugar is above 200mg/dl. Blood sugar monitoring is ordered every four hours for the first 24 hrs. It is also ordered 1L of PNSS for 12 hours and insert Foley catheter and monitor urine output. You successfully started the infusion at 9am. Since Patient X has missed the morning dose of metformin, you immediately gave her the morning dose with 100ml of water, the 1 pm; you gave her another dose with again 100ml water after her lunch. At 10am, you drained her urine bag and got 105 ml output and again, you drained 150ml at 2pm prior to leaving your patient.…
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- Case: You check the ammonia level of a client with hepatic dysfunction who is receiving lactulose and notes that the level is 75 mcg/ dL (45 mcmol/L). What should you do? Diagnosis: (NANDA Approved) PLANNING (SMART) Short term: Long term: PLANNING CRITERIA: Outcome statement clearly states (1) Goal/ Desired Outcome (2) Realistic (3) Priority (4) Measurable (5) Time-boundedThe patient is a 65-year-old male with long history of type 2 Diabetes and obesity. He does not smoke. He had knee surgery 10 years ago but otherwise has had no other major medical problem. Over the years he has tried low glycemic diet and Aerobic exercise program to reduce his weight but has not been very successful. His granddaughter just started high school and he wants to see her graduate and go on college. He understands that his diabetes puts him at high-risk for heart disease and is frustrated that he cannot lose the necessary weight. His neighbor told him about a colleague at work who had his stomach stapled (Gastric or Bariatric surgery) and as a result not only lost over 100 lbs, but also “cured” his diabetes. In addition, one family member told him about intermittent fasting and Keto diet while other relative is regularly doing High-intensity interval training (HIIT). He wants to know which among those treatments or interventions would be the best option for him. What type…Please answer both questions. A 77-year-old postmenopausal woman presented at her GP for her yearly routine checkup. She has comorbid type 2 diabetes, gastroesophageal reflux disease (GORD) and hypertension. She also has a history of severe chronic lower-back pain. She has just received a diagnosis of osteoporosis and her GP wants to start her on therapy to reduce her fracture risk.Her laboratory results include a calcium level of 8.7 mg/mL (normal range 8.6 to 10.3 mg/dL), a 25-(OH) Vitamin D level of 9.2 ng/mL (normal range 25-80 ng/mL), parathyroid hormone (PTH) level of 24.8 pg/mL (normal range 10-55 pg/mL) and alkaline phosphatase level of 104 IU/L (normal range 38-126 IU/L).a) Discuss the laboratory results and outline possible causes for her osteoporosis.b) Which recommendations would you provide to manage her osteoporosis and reduce the risk of fractures?