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- 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 concerns do you have with the propranolol?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?8. A 54 y/o Female presented to the emergency room w/ CC of dyspnea. The patient has a significant PMH of T2DM, GAD, CVD, and MI. The patient reported weight loss of 15 pounds in 2 weeks. The patients weight is 185lb and her height is 175cm. She reports that dietary intake has been poor and she cannot make it to the store without having SOB. She states her usual weight is 200lb. Find her energy needs using the Mifflin-St. Jeor equation 10. A 26 y/o F was admitted for GI discomfort, poor appetite, N/V/D. Upon ultrasound a bezoar was discovered in the distal large intestine. She repots a 10 pound weight loss in 2 weeks. Her current weight is 165 pounds or 75kg and her height is 160cm. Find her energy needs Using the Harris-Benedict equation
- 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 role does Lisinopril have in patients with DM10. A 68-year-old woman comes to the physician for a follow-up examination after a routine endoscopy for dyspepsia showed large esophageal varices. She has a 25-year history of type 2 diabetes mellitus. She also has hypertension and hyperlipidemia. She does not have any history of liver disease, blood transfusions, or intravenous drug use, and she does not drink alcohol. Her current medications are 81-mg aspirin, insulin, lisinopril, and simvastatin. She appears alert. She is 168 cm (5 ft 6 in) tall and weighs 110 kg (242 lb); BMI is 39 kg/m². Physical examination shows scattered spider angiomata over the chest and upper extremities. Abdominal examination shows no ascites. The spleen tip is palpated 4 cm below the left costal margin. Laboratory studies show. Hemoglobin Hematocrit Mean corpuscular volume Platelet count 12.2 g/dL 36% 102 μm³ 92,000/mm³ 1.8 mg/dL Serum Total bilirubin AST 65 U/L ALT 85 U/L Ferritin 62 ng/mL Hepatitis B surface antigen negative Hepatitis B surface antibody…Reproductive: ◆ Care of the patient with: o Infections of the male and female o BPH O STI's Gastrointestinal: ◆ Care of the patient with: o Cirrhosis o Gallbladder disease o Stoma o Crohn's disease o Hernia o Hepatitis o Nasogastric tube Cardiovascular: ◆ Heart sounds ◆ Orthostatic hypotension ◆ Care of the post cardiac care patient ◆ Care of the patient with chest pain ◆ DVT/PE/thrombophlebitis ◆ Care of the patient with heart failure ◆ Care of the patient pre and post cardioversion ◆ Conduction defects and treatments
- 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 TIDDMHTNList the long term complications of DMPatient 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. 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?41. A newborn with esophageal atresia has just returned from surgery to place agastrostomy tube. Which nursing diagnosis will the nurse use to plan the care for thisclient?A. Risk for imbalanced nutritionB. Risk for deficient fluid volumeC. Risk for impaired thermoregulationD. Risk for ineffective gas exchange
- 7. Mrs J is prescribed oral prednisolone in a descending dose regimen. She is to take 60 mg once daily, reducing by 10 mg every 2 days until a dose of 10 mg is reached. She is then to take 10 mg for 7 days followed by 5 mg for 7 days and then stop. How many prednisolone 5 mg tablets would you need to supply to Mrs J to fulfil the full course of treatment?• A A Aa v Ap 14 AaBbCcDdE AaBbCcDdE AaBbCcDc AaBbCcDdE AaBb AaBbCcDdE AaBbCcDdEe e x, x A D. A v Normal No Spacing Heading 1 Heading 2 Title Subtitle Subtle Emph. Styles Pane Dictate 3) A person has been fasting overnight and when this person wakes up, the person drinks a can of regular Coca-Cola for breakfast. The graph below indicates the changes in blood glucose levels over time right before (1) the person drinks the Coca-Cola and 20 minutes after (2), as well as 3 hours after (3) the person drinks the Coca-Cola. Explain, from an endocrine system perspective, why/how the glucose levels change in (1), (2), and (3). 2 300 250 200 What can you 150 conclude about the 1 100 patient based on these data and why? 50 words E English (United States) O Focus W 00 Slucose levels (mg/dl of blood)show woricings &round to one decimal plaE 1) A patiert is to receive 350mg of Biaxin PO The drug is auaitable a suspensiun of loomg Per 2•5 mb as Huw many mL Showld the nurse administer? Physician orders 25mg of Coritisume. The 20 mbuiel 5oumg many milli litr es witl you administer ? The of Corti sune. Huw