1. Why the 32 year old age pregant is taking oral antidiabetic drug instead of insulin (her blood sugar is 180mg/dl and her serum glucose level has maintained with metformin)
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1. Why the 32 year old age pregant is taking oral antidiabetic drug instead of insulin
(her blood sugar is 180mg/dl and her serum glucose level has maintained with metformin)
Step by step
Solved in 2 steps
- 5. A patient is to receive insulin as follows: Regular Insulin 9 units with NPH Insulin 13 units daily in the morning. How many units will the patient require? Use the syringe below to demonstrate how many units the nurse will administer. ||||||| 100 units لسا39 words A school-age child present with new-onset type 1 diabetes mellitus. The nurse should recognize the caregiver demonstrates understanding of how to manage the child's illness by which statement? 30) X A. Long-acting insulin is administered before each meal. B. Index fingers should be used for blood glucose testing. C. Blood glucose stability can be achieved with a restricted diet. D. Insulin injection sites are rotated between arm and legs. Accessibility: Investigate English (United States)1. Order: Halcion 0.25 mg po at bedtime. Supply: Halcion 0.125 mg/tablet. How many tablets will you administer? 2. Order: Infuse heparin at 1000 units/hr via infusion pump. Supply: heparin 25,000 units in 250mL D5W IV. How many mL/hr? 3. Order: Infuse insulin at 20 units/hr via infusion pump. Supply: insulin 125 units in 250 mL NS IV. How many mL/hr?
- 1. In a tabular form, enumerate other hormones aside from insulin that regulates blood glucose levels. Include the gland which produces the said hormones, the hormone action, and its effect on the blood glucose level. 2. How does Diabetes mellitus differ from Diabetes insipidus? 3. What are the sources of errors in Glucose oxidase and Hexokinase methods? 4. Describe each of the following blood determination for glucose. a.) RBS b.) FBS c.) 2-hr PPT d.) OGTTPart 1 1. In a tabular form, enumerate other hormones aside from insulin that regulates blood glucose levels. Include the gland which produces the said hormones, the hormone action, and its effect on the blood glucose level. 2. How does Diabetes mellitus differ from Diabetes insipidus? 3. What are the sources of errors in Glucose oxidase and Hexokinase methods? 4. Describe each of the following blood determination for glucose. a.) RBS b.) FBS c.) 2-hr PPT d.) OGTT Part 2 1. What makes HbA1c more ideal in diabetes monitoring than FBS? 2. Enumerate and explain the techniques in doing HbA1c analysis.A 58-year-old woman has had truncal obesity, fatigue, and hirsutism for 6 months. Blood pressure is 164/98 mm Hg. Laboratory studies show an increased serum cortisol concentration. ACTH is undetectable. Urinalysis is glucosuria. Which of the following is the most likely cause of these findings? a. Adrenal adenoma b. Adrenogenital syndrome c. Autoimmune adrenalitis d. Basophilic pituitary adenoma e. Chromophobe pituitary adenoma f. Small cell carcinoma of the lung
- 34) 32-year-old pregnant female at 13 weeks comes to your office with complaints of palpitations, anxiety and heat intolerance.An ECG shows sinus tachycardia a with a rate of 120 beats/minute ,high level of FT3, FT4, low level of TSH, high level of TRAB . How would you treat this patient during her pregnancy A Radioactive iodine B Follow her chinically and treat after delivery C Partial thyroidectomy D Propyithiouracil E Totally thyroidectomy10. A prescriber sends the following prescription for insulin:“Inj. 30 units QAM ā breakfast, 20 units ā lunch, and 20 units ā supper.”How many 3-mL vials of Humalog U-200 should be dispensed if a 28 day supply is to be dispensed? Round UP to the nearest vial1. You are an endocrinologist in a Diabetes Centre, and a 38 year-old person who has no signs (symptoms) for diabetes arrived to your clinic, but when you checked his fasting blood sugar (FBS) level, it was 132 mg/dL (7.3 mmol/L).A. Based in these results, does this result indicate normal blood glucose? Explain B. What should you then do for/ recommend this person?
- Mrs. Mardigrascia, a G1PO pregnant comes for prenatal consult in the Martinez Medical Clinic. History reveals that she takes vitamin supplements because she is afraid of getting sick. The nurse counsel her to avoid taking which of the following? A. VITAMIN A B. VITAMIN C C. FOLIC ACID D. BETA CAROTENE E. VITAMIN E1. How many mL of Humulin R will be added to make the final product? 2. How many units of insulin will the patient receive each hour?7. A 35-year-old villager with IDDM was examined in the hospital and assured the endocrinologist that he has kept strictly to the recommended diet during insulin treatment. The screening showed that the blood glucose concentration was 6.2 mmol/L; HbA, level was 11.7% (norm 4-6%); no glucose or ketone bodies were detected in the urine. After reviewing the results of laboratory studies, the attending physician was in doubt that the patient followed his nutritional guidelines. Explain this doctor's query. For answer: a) name the reason for the blood HbA, increase; b) list the late complications of diabetes mellitus and explain the molecular mechanisms of their occurrence.