Pearl Homan has just been admitted to Baycrest Long Term Care facility

Question Pearl Homan has just been admitted to Baycrest Long Term Care facilityfor rehabilitation services following pin placement for a patellar fracture two week ago. Before she was injured, she used a pickup walker and did not normally climb stairs. She was active in weekly church-sponsored outings, but otherwise lived a sedentary lifestyle due to her mild mobility problems. All she wants to do is regain her former independence.  Medications:1. Potassium Chloride 20 mEq by mouth daily.2. Colace 100 mg by mouth once daily.3. Losartan 100mg 1 tab PO daily4. Coumadin 2.5mg one tab PO dailiy5. Spironolactone 25 mg by mouth daily.6. Metformin 1000mg 1 tab PO once a day sustained release tablet Pearl was diagnosed with type 2 diabetes 10yrs ago and manages her blood sugar well on her oral medication.  After surgery Pearl’s glucose was very high 18mmol/L and required IV insulin. After 24hrs Pearl was switched to Regular insulin SC.   a. Explain why Pearl required Regular Insulin to control her blood glucose post-surgery. b. What are the sympathetic nervous system and central nervous system responses to altered blood glucose (BG) level? Explain the rationale for the responses.  During your morning assessment Pearl presents lethargic, confused and slurring her words. Her glucose reading was 2.8mmol/L.  c. What action will you take to respond to Pearl’s blood glucose level? d. What nursing implementations are required for the administration for Regular Insulin SC?  Health Science Science Nursing PNM 300 Share QuestionEmailCopy link Comments (0)