the nurse work in the diabetes mellitus (DM) center at a large…
Question Answered step-by-step the nurse work in the diabetes mellitus (DM) center at a large… the nurse work in the diabetes mellitus (DM) center at a large teaching hospital. The first patient the nurse meet is Kay, a 25-year-old-Hispanic woman, who was just released from the hospital 2 days ago after being diagnosed with type I diabetes mellitus (DM). Nine days ago, Kay went to see the physician after a 1-month history of frequent urination, thirst, severe fatigue, blurred vision, and some burning and tingling in her feet. She attributed those symptoms to working long hours at the computer. Her random blood glucose level was 410mg/dL. The next day her laboratory values were as follows: fasting glucose 335 mg/dL; hemoglobin A1c (HbA1c) 8.8%; cholesterol 310 mg/dL; triglycerides 300 mg/dL; high-density lipoprotein (HDL) 25 mg/dL; low-density lipoprotein (LDL) 160 mg/dL; ratio 12.4; and creatinine 0.9 mg/dL. Body mass index 37.6. Her blood pressure (BP) is 160/96 mm Hg. She was admitted to the hospital for control of her glucose levels and initiation of insulin therapy with carbohydrate (CHO) counting. After discharge, Kay has been referred to the nurse for comprehension education. the nurse are to cover four (4) basic areas; pharmacology, glucose monitoring, medical nutrition (MNT), and exercise. 1. Kay was started on sliding scale lispro (Humalog) four times daily and glargine (Lantus) insulin 30 units at bedtime. What is the most significant difference between these two insulin therapies? 2. Kay says she knows people who “only take two shots,” because they are on NPH and regular insulin and wants to know why she can’t do that. Explain the advantages of using the glargine and lispro insulin regimen. 3. Identify important content/specific points would be included under pharmacology therapy 4. Identify important content to review regarding glucose monitoring. 5. Kay states her diet is mostly fast foods, and the foods cooked at home are high in starch and fat. She says because of her work schedule, mealtimes often vary from day to day. The is CHO (carbohydrate) counting and why would this method work well for Kay? 6. Identify important points to be covered in the basic nutrition plan with CHO counting. 7. Kay states that she currently does not exercise at all. What benefits will Kay receive from participating in an exercise program? 8. What do the nurse need to teach Kay regarding safe exercise? 9. How will the nurse evaluate if teaching today was effective? And how will the nurse document it? Health Science Science Nursing Share QuestionEmailCopy link Comments (0)
