Question Answered step-by-step Scenario #1: Alan, 75 years of age, is a white man admitted to the… Scenario #1:  Alan, 75 years of age, is a white man admitted to the hospital after a cerebrovascular accident. He has a history of type 2 diabetes mellitus (T2DM), hypertension, moderate obesity, and possible alcohol abuse. Medications on admission are furosemide (Lasix), hydrochlorothiazide, propranolol (Inderal), and chlorpropamide (Diabinese) 500 mg twice daily. Alan regularly comes to the clinic; at his last visit, he complained of blurred vision, polydipsia, polyuria, and a weight loss of 8 pounds in the past 2 weeks. He was admitted to the hospital with a diagnosis of urinary tract infection and hyperglycemic hyperosmolar nonketotic syndrome (HHNS). Physical examination revealed the following:Height: 5 feet 11 inchesWeight: 215 poundsBlood pressure: 160/82 mm HgCholesterol: 380 mg/dLTriglycerides: 300 mg/dLBlood sugar: 750 mg/dLFamily history: Sister has had T2DM for 10 years Questions:Explain how Alan’s blood glucose level could become so high without producing ketones.If this patient’s HHNS is not treated, then how would his disease be expected to progress?What are Alan’s blood glucose and lipid goals?What is the purpose of the prescribed medications? Are there any possible drug-nutrient interactions?How frequently should blood glucose levels be monitored?What are possible complications? Health Science Science Nursing NURSING SCI1005 Share QuestionEmailCopy link Comments (0)

Question Answered step-by-step Scenario #1: Alan, 75 years of age, is a white man admitted to the… Scenario #1:  Alan, 75 years of age, is a white man admitted to the hospital after a cerebrovascular accident. He has a history of type 2 diabetes mellitus (T2DM), hypertension, moderate obesity, and possible alcohol abuse. Medications on admission are furosemide (Lasix), hydrochlorothiazide, propranolol (Inderal), and chlorpropamide (Diabinese) 500 mg twice daily. Alan regularly comes to the clinic; at his last visit, he complained of blurred vision, polydipsia, polyuria, and a weight loss of 8 pounds in the past 2 weeks. He was admitted to the hospital with a diagnosis of urinary tract infection and hyperglycemic hyperosmolar nonketotic syndrome (HHNS). Physical examination revealed the following:Height: 5 feet 11 inchesWeight: 215 poundsBlood pressure: 160/82 mm HgCholesterol: 380 mg/dLTriglycerides: 300 mg/dLBlood sugar: 750 mg/dLFamily history: Sister has had T2DM for 10 years Questions:Explain how Alan’s blood glucose level could become so high without producing ketones.If this patient’s HHNS is not treated, then how would his disease be expected to progress?What are Alan’s blood glucose and lipid goals?What is the purpose of the prescribed medications? Are there any possible drug-nutrient interactions?How frequently should blood glucose levels be monitored?What are possible complications? Health Science Science Nursing NURSING SCI1005 Share QuestionEmailCopy link Comments (0)