ents/668deWK 2 Assgh - Clinical case study X +Clinical Case Study and Med Calculation, Liquids for Injection4Aiden Avery, age 54, has a history of Type Il diabetes for 5 years. He is seen in an urgent care clinic forcomplaints of shortness of breath, nonproductive cough, wheezing, and dyspnea for 1 week. Mr. A isadmitted to the hospital to rule out pneumonia. At present, Mr. A has no intravenous access.Medication orders:prese●..NPH insulin 10 units subcutaneous dailyRegular insulin 15 units subcutaneous dailySliding scale insulin: ac (before meals) and at night. For blood glucose greater than 200,administer regular insulin subcutaneously, according to formula: BG-100/40= number of unitsof regular insulin.methylprednisolone 80 mg IVP every 8 hours. ticarcillin 750 mg IM now.ceftazidime 400 mg IM now. morphine 4 mg IM nowCalculate the doses (do not round, unless directed):1. methylprednisolone. Supply: 125 mg in 2 mLAnswer2. ticarcillin. Supply: vial of powder labeled ticarcillin; reconstitute with 2 mL of sterile water toyield 1 g/2.6 ml of ticarcillin. Round to the nearest whole number.Answer3. morphine. Supply: 8 mg/mL.Answer-Q Searchscr ikpause39and0921E

Aiden Avery, age 54, has a history of Type II diabetes for 5 years. He is seen in an urgent care…

Answered: Aiden Avery, age 54, has a history of…

Phlebotomy Essentials

6th Edition

ISBN:9781451194524

Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Chapter1: Phlebotomy: Past And Present And The Healthcare Setting

Section: Chapter Questions

Problem 1SRQ

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Indications for prescribing sulfonylurea for diabetes include:A. Type 1 diabetesB. Type 2 diabetes with normal body weightC. Type 2 diabetes with increased body weightD. Type 2 diabetes with weight lossE. Diabetic nephropathy
Daniel is a 52-year-old male with a history of obesity and diabetes. He had gastric bypass surgery 6 years ago and has been maintaining normal blood glucose levels and a BMI of 25 for the last 4 years. Daniel was able to stop taking medication for his diabetes but still takes a daily multivitamin. He has had symptoms of Irritable Bowel Syndrome intermittently for 6 months, including abdominal pain and constipation. Within the last week, he has developed new symptoms that are more severe than the abdominal pain in the past. Daniel’s pain radiates into his groin and interior to the ribs on his right side. The pain fluctuates in intensity but is so severe that it’s debilitating at times. This morning, his pain was accompanied by nausea and vomiting, so he decided to seek emergency care.Why might Daniel’s doctor ask him about his diet? Briefly explain how his diet might be related to his condition.
Daniel is a 52-year-old male with a history of obesity and diabetes. He had gastric bypass surgery 6 years ago and has been maintaining normal blood glucose levels and a BMI of 25 for the last 4 years. Daniel was able to stop taking medication for his diabetes but still takes a daily multivitamin. He has had symptoms of Irritable Bowel Syndrome intermittently for 6 months, including abdominal pain and constipation. Within the last week, he has developed new symptoms that are more severe than the abdominal pain in the past. Daniel’s pain radiates into his groin and interior to the ribs on his right side. The pain fluctuates in intensity but is so severe that it’s debilitating at times. This morning, his pain was accompanied by nausea and vomiting, so he decided to seek emergency care. List and briefly describe 3 steps Daniel can take to prevent future renal lithiasis.
A 12-year-old boy is brought to the physician because of increased urination and progressive fatigue during the past two weeks. Vital signs are within normal limits except for a pulse of 120/min. Physical examination shows dry skin and mucous membranes. His fasting serum glucose concentration is 350 mg/dL. The patient improves after insulin treatment. Which of the following best describes the effect of insulin binding to the insulin receptor (IR) on the surface of hepatocytes in this patient? a. Activation of serine/threonine kinase activity of the IR b. Down regulation of phosphoenolpyruvate carboxykinase c. Inactivation of ras d. Inhibition of glucose-transporter-4 (GLUT-4) translocation to the cell membrane e. Inhibition of phosphatidylinositol-3-kinase signaling pathway
ENDOCRINE SYSTEM CASE: A 68-year-old male patient with type 2 Diabetes Mellitus has received optimal metformin monotherapy for the last 2 years (current dose of 2000 mg/day) and tolerates the treatment well. Hypoglycemia has not been an issue to date. His body mass index (BMI) is 28 kg/m2, which he has worked hard to reduce from 35 kg/m2 over the last 2 years. He has mild hypertension, which is well- controlled on a thiazide plus an angiotensin-converting enzyme inhibitor. His blood lipids are well-controlled on atorvastatin 10 mg daily. He now presents at the clinic with an HbA1c of 7.6%. After reviewing the available therapeutic choices and using a shared decision-making model, a dipeptidyl peptidase-4 (DPP-4) inhibitor is selected as add-on therapy based upon simplicity of use, tolerability, and the patient’s wish to avoid anything that might cause weight gain. What specific parts of the endocrine system is affected in this case? What are the normal functions of the body…
Amelia Frankish is 67 years old. She presented to her GP last week, complaining of a very strong headache, followed by dizziness. The symptoms had resolved by the time she could see the GP, who was concerned enough to request a CT (computerised tomography) of Amelia's head and neck. medical history: Diabetes mellitus Type 2: Management: metformin 1000mg, daily enalapril 10 mg daily rosuvastatin 10mg, daily Atrial fibrillation (AF) Management: apixaban 2.5 mg, BD sotalol 40 mg, BD Cigarette smoking: 20 - 30 cigarettes/day, quit 5 years ago. GP diagnosis - one week ago. Amelia underwent a CT scan of the head and neck, but the results were normal. Amelia was assessed as requiring changes to her hypertension & AF management and the following changes made: enalapril ceased the following medications commenced or changed; irbesartan/ hydrochlorothiazide 300/25, daily amlodipine 5mg, daily apixaban 5mg, BD. Today: Amelia woke early this morning at 0600 hours with a 5/10 headache.…
Daniel is a 52-year-old male with a history of obesity and diabetes. He had gastric bypass surgery 6 years ago and has been maintaining normal blood glucose levels and a BMI of 25 for the last 4 years. Daniel was able to stop taking medication for his diabetes but still takes a daily multivitamin. He has had symptoms of Irritable Bowel Syndrome intermittently for 6 months, including abdominal pain and constipation. Within the last week, he has developed new symptoms that are more severe than the abdominal pain in the past. Daniel’s pain radiates into his groin and interior to the ribs on his right side. The pain fluctuates in intensity but is so severe that it’s debilitating at times. This morning, his pain was accompanied by nausea and vomiting, so he decided to seek emergency care. Why might Daniel’s doctor ask him about his diet? Briefly explain how his diet might be related to his condition.
Daniel is a 52-year-old male with a history of obesity and diabetes. He had gastric bypass surgery 6 years ago and has been maintaining normal blood glucose levels and a BMI of 25 for the last 4 years. Daniel was able to stop taking medication for his diabetes but still takes a daily multivitamin. He has had symptoms of Irritable Bowel Syndrome intermittently for 6 months, including abdominal pain and constipation. Within the last week, he has developed new symptoms that are more severe than the abdominal pain in the past. Daniel’s pain radiates into his groin and interior to the ribs on his right side. The pain fluctuates in intensity but is so severe that it’s debilitating at times. This morning, his pain was accompanied by nausea and vomiting, so he decided to seek emergency care. Daniel has small stones that are lodged in the left renal pelvis. His doctor recommends passing them naturally. Which of the following choices describes the path that these stones must take to exit the…
Discuss the Health, Wellness and illness strategies of a patient with Diabetes Mellitus.
Jesse comes to the medical office for pre-lunch check blood glucose of 210 MG/DL. lunch = 59 g, ISF = 1: 60 target of 120 mg/dL I:C =1:30. how much insulin should you administer using carb coverage and correction dose using ISF?
The first line choice of hypoglycaemic agent for obese patients with type 2 diabetes is: metformin alpha-glucosidase inhibitors Orosiglitazone sulphonylurea
Daniel is a 52-year-old male with a history of obesity and diabetes. He had gastric bypass surgery 6 years ago and has been maintaining normal blood glucose levels and a BMI of 25 for the last 4 years. Daniel was able to stop taking medication for his diabetes but still takes a daily multivitamin. He has had symptoms of Irritable Bowel Syndrome intermittently for 6 months, including abdominal pain and constipation. Within the last week, he has developed new symptoms that are more severe than the abdominal pain in the past. Daniel’s pain radiates into his groin and interior to the ribs on his right side. The pain fluctuates in intensity but is so severe that it’s debilitating at times. This morning, his pain was accompanied by nausea and vomiting, so he decided to seek emergency care.List and briefly describe 2 possible complications.

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