jessie comes to the medical office for pre lunch check. BG 210, lunch 59 g, ISF 1:60, Target BG 120, I:C 1:30. How much insulin should you administer?
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jessie comes to the medical office for pre lunch check. BG 210, lunch 59 g, ISF 1:60, Target BG 120, I:C 1:30. How much insulin should you administer?
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- 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.…Patient A is a 34 years old female flight attendant, living at Seoul, Korea. She is diagnosed with diabetes mellitus. Her height is 4'8'' and weight is 165 lbs. What could be a proper patient care notes for her? Provide at least 5 to 10.Mr. North is 62 years of age and has recently been diagnosed with Type 2 diabetes. What is insulin reaction? Please be detailed. Why is foot care important for diabetic residents? What patient care measures can nurse aides do regarding foot care? What can nurse aides not do?
- Given E.B.'s diagnosis, her physician ordered blood glucose screening. The results of these tests are shown below: Blood Glucose Screening Tost E.B. Lovels Glucose Fasting blood glucose 2-hour oral glucose tolerance test 142 mg/dL 188 mg/dL 70-99 mg/dL <140 mg/dL Fasting Insulin 2-hour Insulin oral glucose tolerance test 15.2 miU/ml 82 mlU/ml <10 miU/ml 6-50 mlU/ml 5 Examine EB.'s blood glucose and insulin tests, What do these results indicate about EB.'x ability of her body to produce and respond to Insulin and her body's abnty to regulate blood glucose? 6 Rescarch the refationship between insulin gonadotropina and androgens How might EB's abnormal insulin levels contribute to changes In gonadotropin and androgen production? In order to increase E.B.s chances of becoming pregnant her physician has E.B. perform the following. Inducing menstruation: Provera (progesterone) is given for 5 to 10 days at a dose of 5 or 10 mg daly. The period usually starts within 2-7 days after the last…How many days will the following prescription last?Microgestin#211 po qd x 21 d off 7d.What is the estimated days supply for this medication? [____] days. Hint: Look up what this medication is used for.Patient M., 36 y/o, was found in the street unconscious. The patient has a medical history of diabetes. There is a smell of alcohol from the mouth. The skin is moist, warm, arterial pressure -145/90 mm column of mercury, convulsive twitching of muscles. Breathing is shallow, eye ball tone is retained, pupils are dilated, hyperflexion. How would you treat this patients?A. Intravenous introduction of 40-80-100 ml 40% glucose solution B. Injecting 20 units of insulin subcutaneouslyC. Injecting 20 units of insulin intravenouslyD. Injecting 500 ml 5% glucose solution intravenouslyE. Injecting 500 ml 0.9% sodium chloride intravenously
- Name: Patient XOXO Age: 54 y/o Patient XOXO, a teacher at public school in Caloocan City. She currently weighs 57kg and stands 5'4'' tall with medium body frame size. She was recently diagnosed with Dysphagia secondary to Neurologic Disorder. Her doctor prescribed a Level 1 Dysphagia diet based on her tolerance after the swallowing assessment and recommendations of OT and PT. Create a one-day meal plan for Patient XOXO requiring such diet.The recommended dose of clindamycin is 8-25 mg/kg/day in four divided doses. The client's weight is 40 kg. Order: Administer 200 mg, po, q6h. How much will the nurse administer?Presentation on type 2 diabetes 1 introduction and cause 2. Causes and diagnosis 3. Nursing intervention and conclusions
- A 76-year-old patient states, “I have been experiencing com-plications of diabetes.” The nurse needs to direct the patient to gain more information. What is the most appropriate com-ment or question to elicit additional information? a. “Do you take two injections of insulin to decrease thecomplications?” b. “Most physicians recommend diet and exercise to regulateblood sugar.”c. “Most complications of diabetes are related to neuropathy.”d. “What specific complications have you experienced?”Mr. Morgan was admitted with a diagnosis of diabetic ketoacidosis yesterday. His initial blood glucose reading was 740 mg/dl. An infusion of regular insulin was started for glucose management as well as normal saline infusion for hydration. His latest blood glucose reading is 230 mg/dl as the nurse the next step is toFormulate a Discharge Plan for a 3-year-old male child newly diagnosed with Diabetes Mellitus Type 1. Use the acronym METHODS (medication, exercise(activity /environment, treatment, health education, out-patient follow-up, diets, social/spiritual). His home medication is Regular Insulin 3 units SC TID 30 minutes before meals. The doctor also ordered monitoring of blood glucose TID before an insulin injection. The doctor advised them to return for a follow-up checkup after 2 weeks with the CBG monitoring log, and as needed. The parents are anxious about their child's condition and worried that they might not be able to take care of him. The mother asks for instruction on how to administer the insulin as this is the first time that they will do this. The mother verbalized concern that his child might need diet and activity restrictions. They have heard the word "hyperglycemia and hypoglycemia" from an adult neighbor and asks you if their child would also experience those episodes. The…
