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- Patient is a 55 year old female with a diagnosis of diabetes. She was diagnosed when she was 50 aftershe changed jobs and became more sedentary and which also resulted in a poor diet. She currentlyoverweight with a BMI of 32.Allergies NKDACurrent MedicationsMetformin 1000 mg BIDLisinopril 10 mg once dailyPMH Propranolol 10 mg TIDDMHTNList the long term complications of DMPatient is a 55 year old female with a diagnosis of diabetes. She was diagnosed when she was 50 aftershe changed jobs and became more sedentary and which also resulted in a poor diet. She currentlyoverweight with a BMI of 32.Allergies NKDACurrent MedicationsMetformin 1000 mg BIDLisinopril 10 mg once dailyPMH Propranolol 10 mg TIDDMHTN1. What type of diabetes does she have?2. Describe the mechanism of action of metformin. In which patients is metformin contraindicated?3. List some non-pharmacologic measures that can lower her blood sugar?4. List the long term complications of DM5. What role does Lisinopril have in patients with DM?6. What concerns do you have with the propranolol?7. Despite her medication regimen, her blood sugar has been very, very high and her physician decidedto start a long acting insulin. Which insulins are long acting?Patient is a 55 year old female with a diagnosis of diabetes. She was diagnosed when she was 50 aftershe changed jobs and became more sedentary and which also resulted in a poor diet. She currentlyoverweight with a BMI of 32.Allergies NKDACurrent MedicationsMetformin 1000 mg BIDLisinopril 10 mg once dailyPMH Propranolol 10 mg TIDDMHTN1. Despite her medication regimen, her blood sugar has been very, very high and her physician decidedto start a long acting insulin. Which insulins are long acting?
- Patient is a 55 year old female with a diagnosis of diabetes. She was diagnosed when she was 50 aftershe changed jobs and became more sedentary and which also resulted in a poor diet. She currentlyoverweight with a BMI of 32.Allergies NKDACurrent MedicationsMetformin 1000 mg BIDLisinopril 10 mg once dailyPMH Propranolol 10 mg TIDDMHTN1. What concerns do you have with the propranolol?Patient is a 55 year old female with a diagnosis of diabetes. She was diagnosed when she was 50 aftershe changed jobs and became more sedentary and which also resulted in a poor diet. She currentlyoverweight with a BMI of 32.Allergies NKDACurrent MedicationsMetformin 1000 mg BIDLisinopril 10 mg once dailyPMH Propranolol 10 mg TIDDMHTN1. What role does Lisinopril have in patients with DMPhysical Concerns Reason for the physical concern IS 1. Nausea and A. Increased prolactin levels for milk production vomiting B. relaxation of GI muscle tone due to elevated ERS 2. Heartburn progesterone level C. Increased appetite 4. physiologic anemia D. relaxation of cardiac sphincter or anxiety 5. Enhanced Appetite E. Secretion of nutrient into breastmilk 3. Increase BMR 6. Calcium F. This is due to increase in oxygen consumption Homeostasis related to increase cardiac output and due to 7. Constipation 8. Postpartum weight G. Circulating volume increase by 30-50%, Total increase oxygen needs of the placenta retention body water increases 9. Inadequate weight H. vomiting gain I. Energy intake more than the required 10. Excessive weight (there are only 9 choices) gain
- 1.In not more than five(5) pages, discuss the role of nutrition in the management ofdyslipidemia and diabetes.Indicate how the nurse can facilitate the nutritionalinterventions.Rowder for blets, Liguid tihotures bars&qels and fermented herbs 3. Discuss specific uses for the different types of supplements pe o energy 4. Properly choose the correct supplement for a client with renal disease Vitamino,CoRio(Aor hearthenNy boRenal+ diabetes Cinnamen, chromium vitamin6lL Alpha-Lipn pulmonary disease Vitamins ACandE am Knawn frt wound healing 5. Advise clients of cost and availability of above nutritional supplements renal disease diabetes pulmonary disease •wound healingCan you help me to resolve this case study? Class is Advance Food System Management Dietetic Major
- A 63 yo female w/ a past medical history significant for diabetes mellitus, cirrhosis, gout, and a 30-pack a year smoking history, presents to the emergency room with chest pain revealing pericarditis in the echocardiogram, secondary to recently diagnosed end-stage renal disease. Physical examination reveals yellowish discoloration to the skin and sclera, multiple bruises, and 2+ bilateral edema. Sarah reports weakness lasting more than three weeks. Her medications include Glisten, a new drug for diabetes that causes ATP sensitive potassium channels to close, thereby releasing insulin. Explain the cause of her abnormal stool and urine sample. What cell does Glisten work on? Explain how this medication is able to stimulate insulin secretion.IKA C O E GE gether Department of Health | Department of and Mental Hygiene Education A det Diabetic Small Group Training Pre-Test Title: Date: Name: Please input your answer in the box to the left of the question. A student with a DMAF presents to the medical room with the complaint of vomiting and temperature of 1. 102°F. What do you do? a) Call the student's provider and parent b) Check BG and monitor student c) Give water d) Assess the student, check BG, follow DMAF recommendations, call the parent, call the student s providerGiven these conditions I. Blood glucose levels are very high I1. Excessive thirst is shown II. Glucose is present in the urine in a large amount IV. Decrease urine output In assessing the patient with untreated diabetes mellitus, which one is LEAST to be manifested by the patient? OIV O II
