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- Jane is a 32 year old female with no significant medical history. She reports for her annual physical with her primary care physician and notes that she has one concern about an increase in urinary frequency and nocturia (urination at night). She says this is becoming rather prohibited to her life and it has become a concern. The physician performs a routine physician (e.g. blood pressure, heart rate, reflex testing) and finds no abnormalities. The physician ask for a urine sample and performs a dipstick test to find no glucose present in Jane's urine. A blood test shows her Hemoglobin A1c is 5.7%.The pt has Diabetic type 1 and has Chronic kidney disease.Put these medications in priority order how you administrate them.amlodipinecarvedilolPlavixlevothyroxineDeltasoneBefore eating breakfast, and 30 minutes after taking her medication legally prescribed by her physician, Jane begins to feel jittery and hungry. She does NOT like this feeling. What medication did she possibly take? O Insulin O Penicillin O Isoniazid N-acetyl cysteine (NAC)
- Mr. Umar is 25 year old type 1 diabetic patient. He is on intensive insulin therapy and also taking oral anti-hyperglycemic agents. a. Name the most possible negative consequence/effect of this treatment? b. What are the guidelines to prevent this condition?Why was she immediately treated with insulin following her diagnosis at age 11? Explain your answer.Linda is ordered a Potassium supplement on a daily basis, why would this be indicated or necessary?
- Because the prime early symptom of diabetes is a high levelof blood glucose, insulin is often associated primarily withcarbohydrate metabolism. List several other processes thatare insulin-dependent.Find a case of Inborn Errors of Metabolism (IEM) on the internet anddescribe the disease, the cause and the treatment. Describe it shortly in atabular form.An existing patient of yours is seen in the clinic. In reviewing his intake form before seeing him, you notice a sudden weight loss from his visit last year and is here to discuss it with you. If you suspect that due to his family history of diabetes, the patient may now have Type 1 diabetes, what are some other questions that you will ask him? What are some other risk factors that may lead you to the diagnosis of diabetes mellitus?
- What is Diabetes Insipidus? What ere the possible causes?he practitioner at the urgent care facility makes the decision that A.M. needs to go to the hospital by ambulance. Once at the Emergency Department (ED), the ED physician orders the following items. Which are questionable related to her diabetic keto acidosis condition, and which are appropriate? Why? 1000 ml Lactated Ringer’s (LR) IV stat 36 units NPH (Humulin N) and 20 units regular (Humulin R) insulin SQ now CBC with differential; CMP: blood cultures X2 sites; clean-catch urine for UA and C&S; stool for ova and parasites; Clostridium difficile toxin, and C&S; serum lactate; ketone; osmolality; ABGs on room air 1800 calorie, carbohydrate controlled diet Bed rest Acetaminophen (Tylenol) 650 mg orally Q4 hrs PRN Furosemide (Lasix) 60 mg IV push now Urinary output every hour i. VS every shiftWhy is it more difficult for Jacob to maintain his injection routine in middle school than it was in elementary school? Knowing that missing an insulin injection could cause a diabetic coma and possibly death, why do you think Jacob is not more conscientious in his self-care? Do you think Jacob’s schoolmates talk about him, or does he just think they do? Discuss both possibilities. What steps can Jacob take to help his classmates understand his condition An insulin pump might be an option for Jacob. What are some of the factors that will help his doctor decide if he’s a good candidate?