Phlebotomy Essentials
6th Edition
ISBN: 9781451194524
Author: Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher: JONES+BARTLETT PUBLISHERS, INC.
expand_more
expand_more
format_list_bulleted
Question
Case Study for Diabetes Type 2 - Erin
Erin is a 48-year-old Human Resource specialist. Her days are very busy, and she barely has time to eat lunch most days. She has recently been told she has Type 2 diabetes, with confirmation of high fasting values confirmed with an oral glucose tolerance test. Her doctor wants to work with her on her lifestyle modification before prescribing oral medications. She has a BMI of 28.8 and is currently walking her dog about two times per week with no symptoms or problems. She does not push herself very hard as her dog likes to stop and sniff everything.
- She has clearance from her physician to begin moderate exercise. Please make a FITT plan for her and also state what specific considerations you need to think of prior to her starting. What would you focus on for her specifically in the DIABETES lecture considerations/FITT principle?
- Her glucose level before your exercise session is 65 mg/dl. She states she did not have time for lunch and is now at your center at 3PM.
How would you proceed? Remember she is new to having diabetes and to regular exercise.
Expert Solution
This question has been solved!
Explore an expertly crafted, step-by-step solution for a thorough understanding of key concepts.
This is a popular solution
Trending nowThis is a popular solution!
Step by stepSolved in 3 steps
Knowledge Booster
Similar questions
- CC: My blood sugars have not been very good lately. I’m doing everything I am supposed to be doing HPI: A 24-year-old male patient comes to your primary care clinic to establish care. He has type 1 diabetes mellitus diagnosed at age 11. He has not seen a provider in about 9 months. Currently, he is taking NPH insulin 30 units bid (8 a.m. and 6 p.m.) with 10 units Humalog before each meal. He does not take any other medications. He does not use tobacco products but does drink alcohol on the weekends. He reports checking blood glucose (BG) levels three to four times daily but did not bring his glucose log or meter. He reports his fasting blood sugar runs 150 to 190 and prandial glucose readings are 140- 250. He reports hypoglycemic episodes one to two times per week. He exercises intermittently but is not on a regular schedule. He does not eat on a regular schedule every day although he says he knows that he should. He works at a light-activity job 8 hours daily. Reports fatigue and…arrow_forwardHelp with parts 1-6arrow_forwardDiscuss the risk factors of diabetesarrow_forward
- Case Study for Overweight/Obesity – Lynn This client is a female 58 years old, nonsmoker. She drinks on average two standard drinks a day, but because of a menopausal middle, is cutting back to just the weekends. Lynn walks or does an exercise class on most days during the week for about 30 minutes each day. She has no history of cardiovascular disease. Her family history shows no history of cardiovascular disease, other than a tendency towards hypertension. She got a blood panel done because she wants to take better care of herself and needs an exercise prescription. Her main goal is general fitness and to lose the menopausal middle. She is frustrated because her current walks and workouts have only shown a weight loss of 4 lb. She wants to lose about 15 more. She has come to your facility where you are doing your internship. Your supervisor assigns this client to you to work with, and here is her information: Height: 5’4” Weight: 167 lbs…arrow_forwardWhat is the answer for number 3?arrow_forward43. A 13 year old boy with type 1 diabetes mellitus is brought to the emergency department because of nausea and weakness for 24 hours. He did not take his last 3 doses of insulin. His temperature is 37C(98.6F), pulse is 120/min, respirations are 30/min, and blood pressure is 90/60 mm Hg. Physical examination shows dry mucous membranes and decreased skin turgor. Laboratory studies show: Serum HCO3 Glucose Arterial blood gas analysis on room air: pH PCO2 6 mEq/L 400 mg/dL a. Buffering by HCO3 b. Buffering by inorganic phosphates c. Buffering by intracellular proteins d. Increased renal excretion of titratable acid e. Pulmonary excretion of CO2 derived from HCO3 7.10 20 mm Hg Which of the following processes is the initial defense against the decrease in arterial pH in this patient?arrow_forward
- Daniel is a 52-year-old male with a history of obesity and diabetes. He had gastric bypass surgery 6 years ago and has been maintaining normal blood glucose levels and a BMI of 25 for the last 4 years. Daniel was able to stop taking medication for his diabetes but still takes a daily multivitamin. He has had symptoms of Irritable Bowel Syndrome intermittently for 6 months, including abdominal pain and constipation. Within the last week, he has developed new symptoms that are more severe than the abdominal pain in the past. Daniel’s pain radiates into his groin and interior to the ribs on his right side. The pain fluctuates in intensity but is so severe that it’s debilitating at times. This morning, his pain was accompanied by nausea and vomiting, so he decided to seek emergency care. Which parts of Daniel’s history contribute to his risk for kidney stones?arrow_forward31- need help with following. please be specifiy about answerarrow_forwardDiscuss the consequences of diabetes - For example cardiac arrest, loss of limp and other health conditions that come along.arrow_forward
- Daniel is a 52-year-old male with a history of obesity and diabetes. He had gastric bypass surgery 6 years ago and has been maintaining normal blood glucose levels and a BMI of 25 for the last 4 years. Daniel was able to stop taking medication for his diabetes but still takes a daily multivitamin. He has had symptoms of Irritable Bowel Syndrome intermittently for 6 months, including abdominal pain and constipation. Within the last week, he has developed new symptoms that are more severe than the abdominal pain in the past. Daniel’s pain radiates into his groin and interior to the ribs on his right side. The pain fluctuates in intensity but is so severe that it’s debilitating at times. This morning, his pain was accompanied by nausea and vomiting, so he decided to seek emergency care.Why might Daniel’s doctor ask him about his diet? Briefly explain how his diet might be related to his condition.arrow_forwardDaniel is a 52-year-old male with a history of obesity and diabetes. He had gastric bypass surgery 6 years ago and has been maintaining normal blood glucose levels and a BMI of 25 for the last 4 years. Daniel was able to stop taking medication for his diabetes but still takes a daily multivitamin. He has had symptoms of Irritable Bowel Syndrome intermittently for 6 months, including abdominal pain and constipation. Within the last week, he has developed new symptoms that are more severe than the abdominal pain in the past. Daniel’s pain radiates into his groin and interior to the ribs on his right side. The pain fluctuates in intensity but is so severe that it’s debilitating at times. This morning, his pain was accompanied by nausea and vomiting, so he decided to seek emergency care. List and briefly describe 3 steps Daniel can take to prevent future renal lithiasis.arrow_forwardNonearrow_forward
arrow_back_ios
SEE MORE QUESTIONS
arrow_forward_ios
Recommended textbooks for you
- Phlebotomy EssentialsNursingISBN:9781451194524Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)Publisher:JONES+BARTLETT PUBLISHERS, INC.Gould's Pathophysiology for the Health Profession...NursingISBN:9780323414425Author:Robert J Hubert BSPublisher:SaundersFundamentals Of NursingNursingISBN:9781496362179Author:Taylor, Carol (carol R.), LYNN, Pamela (pamela Barbara), Bartlett, Jennifer L.Publisher:Wolters Kluwer,
- Fundamentals of Nursing, 9eNursingISBN:9780323327404Author:Patricia A. Potter RN MSN PhD FAAN, Anne Griffin Perry RN EdD FAAN, Patricia Stockert RN BSN MS PhD, Amy Hall RN BSN MS PhD CNEPublisher:Elsevier ScienceStudy Guide for Gould's Pathophysiology for the H...NursingISBN:9780323414142Author:Hubert BS, Robert J; VanMeter PhD, Karin C.Publisher:SaundersIssues and Ethics in the Helping Professions (Min...NursingISBN:9781337406291Author:Gerald Corey, Marianne Schneider Corey, Cindy CoreyPublisher:Cengage Learning
Phlebotomy Essentials
Nursing
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:JONES+BARTLETT PUBLISHERS, INC.
Gould's Pathophysiology for the Health Profession...
Nursing
ISBN:9780323414425
Author:Robert J Hubert BS
Publisher:Saunders
Fundamentals Of Nursing
Nursing
ISBN:9781496362179
Author:Taylor, Carol (carol R.), LYNN, Pamela (pamela Barbara), Bartlett, Jennifer L.
Publisher:Wolters Kluwer,
Fundamentals of Nursing, 9e
Nursing
ISBN:9780323327404
Author:Patricia A. Potter RN MSN PhD FAAN, Anne Griffin Perry RN EdD FAAN, Patricia Stockert RN BSN MS PhD, Amy Hall RN BSN MS PhD CNE
Publisher:Elsevier Science
Study Guide for Gould's Pathophysiology for the H...
Nursing
ISBN:9780323414142
Author:Hubert BS, Robert J; VanMeter PhD, Karin C.
Publisher:Saunders
Issues and Ethics in the Helping Professions (Min...
Nursing
ISBN:9781337406291
Author:Gerald Corey, Marianne Schneider Corey, Cindy Corey
Publisher:Cengage Learning