Case in point: Margarita managing steroid-induced diabetes على ذلك: مارغريتا تتعامل مع مرض السكري الناجم عن الستيرويد Margarita is a 59-year-old Hispanic nurse who has been admitted to the hospital for a left total knee replacement. She is 5 feet 6 inches and weighs 210 pounds. She has been NPO (nothing by mouth) all night and arrives to the hospital at 7 in the morning to be prepared for surgery. Once the operation is over, the healing process begins, and the physician notices that the incision is not healing as fast as expected. Margarita tells her nurse that since the surgery, she has noticed bilateral temporal pain. Her hemoglobin drops dramatically, and she has been newly diagnosed with giant cell arteritis. The cure is large doses of prednisone. Large doses of prednisone cause steroid-induced diabetes. The doctor prescribed a 1,200-calorie diabetic diet. Margarita is overwhelmed with all that has happened. ASSESSMENT 1. Calculate Margarita's ideal weight using Table 3-3. (calculate for yourself) 2. What does the dietitian need to know about Margarita's meal choices? 3. What does the dietitian need to know about Margarita's way of life? 4.What sources of carbohydrates would be most helpful in weight loss and maintenance of blood sugar levels? DIAGNOSIS 5. Write a nursing diagnosis for Margarita.

Which of the following medications may cause hypoglycemia when is use as monotherapy? (select all that apply) Insulin Rosiglitazone Glipizide Metformin exenatide

Forms of Cardiovascular Disease28 Metabolic syndrome is a term used to link coronary artery disease, hyptertension, type 2 diabetes and upper body obesity to insulin resistance and hyperinsulinemia. True False

Alexandra Gonzalez is a 28-YO ski instructor. She suffered multiple fractures, which included a broken pelvis leaving her immobile. Activity Level = 1.0. She measured 5’4 and weighted 141# when she was admitted 1-week ago, but has lost 15# since her arrival. She is diabetic and requires the use of antidiabetic drugs (Metformin) and injectable insulin. She has stated she has had low appetite since the accident and follows a strict CHO counting diet. MD has issued orders for a nasoduodenal tube feeding and will receive all oral medication via tube. Describe the precautions that should be taken since Ms. Gonzalez receives medications through the feeding tube. After 24-hours of feeding, Ms. Gonzalez develops diarrhea. Identify the possible cause for this and describe what measures can be taken to correct the diarrhea. Using total calories determined in question #2, plan Ms. Gonzalez tube feeding schedule to provide the following: Intermittent feedings 6 times/day Intermittent feedings 8…