SEELEY'S ANATOMY+PHYSIOLOGY
12th Edition
ISBN: 9781260172195
Author: VanPutte
Publisher: RENT MCG
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Chapter 18, Problem 7CT
Summary Introduction
To determine:
Whether the patient is in diabetic coma or insulin shock and the treatment recommended for each condition.
Introduction:
Diabetes is a condition that occurs when the blood sugar level is too high. The insulin hormone plays an important role in regulating blood sugar levels. It helps the body cells to take in sugar (glucose) to be utilized for energy.
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You are a nurse in an acute care hospital. Your new patient JD is in the hospital for fractures. His chart showed he has type 2 diabetes with HbA1c of 8.0%. JD’s sister came in to visit at lunch and brought him a Big Mac (3 slices of bread) with large fries on the side in addition to a bag of potato chips and a bottle of orange juice. You are concerned about the high carbohydrate content of the meal and discussed this with JD and JD’s sister. JD’s sister said, “I know my brother has diabetes, so I didn’t bring him soda or dessert.” JD said “I really love my carbs, but I know I should avoid all carbs to make my sugar low. Doctor said something about my ‘A1c’. Do you know what that is about?” Both JD and his sister said they would like to learn more about diabetes and diet.”
Please explain to JD and his sister some of the diabetes treatment options, including diet, exercise, insulin injections, and oral medications.
Please explain to JD’s sister the different types of carbohydrates.…
You are a nurse in an acute care hospital. Your new patient JD is in the hospital for fractures. His chart showed he has type 2 diabetes with HbA1c of 8.0%. JD’s sister came in to visit at lunch and brought him a Big Mac (3 slices of bread) with large fries on the side in addition to a bag of potato chips and a bottle of orange juice. You are concerned about the high carbohydrate content of the meal and discussed this with JD and JD’s sister. JD’s sister said, “I know my brother has diabetes, so I didn’t bring him soda or dessert.” JD said “I really love my carbs, but I know I should avoid all carbs to make my sugar low. Doctor said something about my ‘A1c’. Do you know what that is about?” Both JD and his sister said they would like to learn more about diabetes and diet.
Please explain to JD and his sister what the HbA1c test is and how to use A1c level to categorize normal blood sugar, pre-diabetes, and diabetes according to the ADA. Please also describe the target HbA1c level for…
You are a nurse in an acute care hospital. Your new patient JD is in the hospital for fractures. His chart showed he has type 2 diabetes with HbA1c of 8.0%. JD’s sister came in to visit at lunch and brought him a Big Mac (3 slices of bread) with large fries on the side in addition to a bag of potato chips and a bottle of orange juice. You are concerned about the high carbohydrate content of the meal and discussed this with JD and JD’s sister. JD’s sister said, “I know my brother has diabetes, so I didn’t bring him soda or dessert.” JD said “I really love my carbs, but I know I should avoid all carbs to make my sugar low. Doctor said something about my ‘A1c’. Do you know what that is about?” Both JD and his sister said they would like to learn more about diabetes and diet.
Please explain to JD why he needs carbohydrates and describe the 2 functions of carbohydrates.
Please explain to JD’s sister the different types of carbohydrates.
Provide 2 examples of simple carbohydrates and 2…
Chapter 18 Solutions
SEELEY'S ANATOMY+PHYSIOLOGY
Ch. 18.1 - Prob. 1AYPCh. 18.1 - Prob. 2AYPCh. 18.2 - Prob. 3AYPCh. 18.2 - Prob. 4AYPCh. 18.2 - How does the hypothalamus regulate the secretion...Ch. 18.2 - Prob. 6AYPCh. 18.2 - Prob. 7AYPCh. 18.2 - Prob. 8AYPCh. 18.2 - Prob. 9AYPCh. 18.2 - Prob. 10AYP
Ch. 18.2 - Prob. 11AYPCh. 18.2 - Prob. 12AYPCh. 18.2 - Prob. 13AYPCh. 18.2 - What effects do stress, blood amino acid levels,...Ch. 18.2 - Describe the effects of GH on its target tissues.Ch. 18.2 - Prob. 16AYPCh. 18.2 - Prob. 17AYPCh. 18.2 - Prob. 18AYPCh. 18.2 - For each of the following hormones secreted by the...Ch. 18.2 - Prob. 20AYPCh. 18.2 - What is a gonadotropin? Name two...Ch. 18.3 - Prob. 22AYPCh. 18.3 - Prob. 23AYPCh. 18.3 - How are the thyroid hormones transported in the...Ch. 18.3 - Prob. 25AYPCh. 18.3 - Starting in the hypothalamus, explain how chronic...Ch. 18.3 - Prob. 27AYPCh. 18.3 - Prob. 28AYPCh. 18.3 - Prob. 29AYPCh. 18.3 - What conditions cause hyperthyroidism? Describe...Ch. 18.3 - Prob. 31AYPCh. 18.4 - Prob. 32AYPCh. 18.4 - Prob. 33AYPCh. 18.4 - Prob. 34AYPCh. 18.4 - Prob. 35AYPCh. 18.4 - What can cause hypoparathyroidism?Describe the...Ch. 18.4 - Prob. 37AYPCh. 18.5 - Where are the adrenal glands located? Describe the...Ch. 18.5 - Name two hormones secreted by the adrenal medulla,...Ch. 18.5 - Prob. 40AYPCh. 18.5 - Prob. 41AYPCh. 18.5 - Name the target tissue ofaldosterone, and list...Ch. 18.5 - Prob. 43AYPCh. 18.5 - Prob. 44AYPCh. 18.5 - List the possible causes of hypersecretion of...Ch. 18.5 - Prob. 46AYPCh. 18.6 - Prob. 47AYPCh. 18.6 - Prob. 48AYPCh. 18.6 - How does insulin affect the satiety center of the...Ch. 18.6 - Prob. 50AYPCh. 18.6 - Prob. 51AYPCh. 18.7 - Prob. 52AYPCh. 18.7 - Prob. 53AYPCh. 18.7 - Prob. 54AYPCh. 18.8 - Prob. 55AYPCh. 18.8 - List the hormones secreted by the ovaries, and...Ch. 18.8 - What hormones from the anterior pituitary gland...Ch. 18.8 - Prob. 58AYPCh. 18.9 - Prob. 59AYPCh. 18.9 - Prob. 60AYPCh. 18.10 - What hormone is secreted by the thymus? What is...Ch. 18.10 - Prob. 62AYPCh. 18.10 - Prob. 63AYPCh. 18.10 - Prob. 64AYPCh. 18.10 - List examples of paracrine chemical messengers...Ch. 18.10 - Prob. 66AYPCh. 18.11 - Prob. 67AYPCh. 18.11 - Prob. 68AYPCh. 18 - The pituitary gland a. develops from the floor of...Ch. 18 - The hypothalamohypophysial portal system a....Ch. 18 - Prob. 3RACCh. 18 - Prob. 4RACCh. 18 - Prob. 5RACCh. 18 - Prob. 6RACCh. 18 - Prob. 7RACCh. 18 - Hypersecretion of growth hormone a.results in...Ch. 18 - Prob. 9RACCh. 18 - Prob. 10RACCh. 18 - Prob. 11RACCh. 18 - Prob. 12RACCh. 18 - Prob. 13RACCh. 18 - Parathyroid hormone secretion increases in...Ch. 18 - Prob. 15RACCh. 18 - Prob. 16RACCh. 18 - In the condition in which a benign tumor results...Ch. 18 - Which of these is nor a hormone secreted by the...Ch. 18 - Prob. 19RACCh. 18 - Prob. 20RACCh. 18 - Prob. 21RACCh. 18 - Within the pancreas, the pancreatic islets produce...Ch. 18 - Insulin increases a. the uptake of glucose by its...Ch. 18 - Prob. 24RACCh. 18 - Prob. 25RACCh. 18 - Prob. 26RACCh. 18 - Prob. 27RACCh. 18 - Prob. 28RACCh. 18 - Prob. 29RACCh. 18 - Prob. 30RACCh. 18 - Prob. 1CTCh. 18 - Prob. 2CTCh. 18 - A patient complains of headaches and visual...Ch. 18 - Prob. 4CTCh. 18 - Prob. 5CTCh. 18 - Prob. 6CTCh. 18 - Prob. 7CTCh. 18 - Predict some of the consequences of exposure to...Ch. 18 - Katie was getting nervous. At 16, she was the only...
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- You are a nurse in an acute care hospital. Your new patient JD is in the hospital for fractures. His chart showed he has type 2 diabetes with HbA1c of 8.0%. JD’s sister came in to visit at lunch and brought him a Big Mac (3 slices of bread) with large fries on the side in addition to a bag of potato chips and a bottle of orange juice. You are concerned about the high carbohydrate content of the meal and discussed this with JD and JD’s sister. JD’s sister said, “I know my brother has diabetes, so I didn’t bring him soda or dessert.” JD said “I really love my carbs, but I know I should avoid all carbs to make my sugar low. Doctor said something about my ‘A1c’. Do you know what that is about?” Both JD and his sister said they would like to learn more about diabetes and diet. Doctor said something about my ‘A1c’. Do you know what that is about?” ----- Can you Explain in detail what is A1c? Please explain to JD and his sister what the HbA1c test is and how to use A1c level to categorize…arrow_forwardIf a type I diabetic client takes too much insulin, what clinical manifestations would alert the nurse to the fact that the client has become hypoglycemic? Question 11 options: confusion and cool, clammy skin fruity smelling breath and urinary ketones tremors of the limbs and bradycardia complaints of abdominal pain and nauseaarrow_forwardWhen assisting the client with prepared insulin medication you must administer the medication. Question 9Select one: True Falsearrow_forward
- A patient with DM asks the nurse about insulin administration and how to handle insulin properly. As a nurse you will explain it thoroughly to your client.arrow_forwardA doctor has three patients who he suspects may be diabetic. On two occasions, each patient was administered a sugar test (i.e., was asked to consume a very sugary beverage) and their blood sugar levels were monitored for 120 minutes according to the graphs shown below. a) Which of the three patients does not have diabetes? How do you know? b) Which of the three patients has Type I diabetes? How do you know? c) Which of the three patients has Type II diabetes? How do you know?arrow_forwardWhich activity would be MOST DIFFICULT for a client who has diabetic retinopathy? Feeling the temperature of the shower water. Reading the menu choices in a dimly-lit restaurant. Lifting a cooking pot by the handle using one hand.arrow_forward
- You are required to formulate a plan of education for a Diabetic Ketoacidosis Patient's Family, so they will better understand his condition and be able to assist him to manage those days when is unwell. What areas would you cover? How would you ascertain their understanding?arrow_forwardA patient brought to you complains of headache, weakness, dizziness and has slight disorientation. She has a history of diabetes. What will you say was the cause of the problem stating the treatment procedures the patient will go through.arrow_forwardGive the most accurate explanation for why it is not possible to treat type 1 diabetes co-drug in tablet form. Choose an alternative: Drugs for type 1 diabetes can not be prepared in tablet form Drugs for type 1 diabetes must be given in such large doses that the tablets would become too large Drugs for type 1 diabetes are broken down in the gastrointestinal tract Type 1 diabetes is treated with Lifestyle Advice Drugs for type 1 diabetes have no shelf life in tablet formarrow_forward
- “You are a nurse in an acute care hospital. Your new patient JD is in the hospital for fractures. His chart showed he has type 2 diabetes with HbA1c of 8.0%. JD’s sister came in to visit at lunch and brought him a Big Mac (3 slices of bread) with large fries on the side in addition to a bag of potato chips and a bottle of orange juice. You are concerned about the high carbohydrate content of the meal and discussed this with JD and JD’s sister. JD’s sister said, “I know my brother has diabetes, so I didn’t bring him soda or dessert.” JD said “I really love my carbs, but I know I should avoid all carbs to make my sugar low. Doctor said something about my ‘A1c’. Do you know what that is about?” Both JD and his sister said they would like to learn more about diabetes and diet.” Q1. Please explain to JD why he needs carbohydrates and describe the 2 functions of carbohydrate. Please explain to JD and his sister what the HbA1c test is and how to use A1c level to categorize normal blood…arrow_forwardA patient comes into the pharmacy stating that their last exam indicated that they may have insulin resistance ( not Type II DM levels). What practical advice or information would you share with them?arrow_forwardPatients with either Type 1 and Type 2 diabetes may experience problems if their blood sugar becomes extremely high. This condition is called hyperglycemia. The table below depicts different treatment options to prevent hyperglycemia for patients with Type 1 and Type 2 diabetes and the rationale behind the treatment. Select the row that correctly identifies the treatment for each form of diabetes and explains why the treatment is effective. Select one: a. Type 1 Treatment Type 2 Treatment Reason Lifestyle change - eating better and increasing exercise Insulin monitoring and periodic insulin shot Type 1 can be controlled by managing lifestyle choices, whereas Type 2 is caused by decreased functioning of beta cells and therefore less insulin is produced. b. Type 1 Treatment Type 2 Treatment Reason Beta cell replacement surgery Alpha cell replacement surgery Type 1 involves the reduction of beta cells in the body, whereas Type 2 is caused by decreased functioning of alpha…arrow_forward
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