Homework Help is Here – Start Your Trial Now!
Science
Nursing
CC: My blood sugars have not been very good lately. Im doing everything I am supposed to be doing HPI: A 24-year-old male patient comes to your primary care clinic to establish care. He has type 1 diabetes mellitus diagnosed at age 11. He has not seen a provider in about 9 months. Currently, he is taking NPH insulin 30 units bid (8 a.m. and 6 p.m.) with 10 units Humalog before each meal. He does not take any other medications. He does not use tobacco products but does drink alcohol on the weekends. He reports checking blood glucose (BG) levels three to four times daily but did not bring his glucose log or meter. He reports his fasting blood sugar runs 150 to 190 and prandial glucose readings are 140- 250. He reports hypoglycemic episodes one to two times per week. He exercises intermittently but is not on a regular schedule. He does not eat on a regular schedule every day although he says he knows that he should. He works at a light-activity job 8 hours daily. Reports fatigue and nausea at times. Unsure of polydipsia or polyuria. Denies fevers, chills, weight loss, malaise, SOB, palpitations, dizziness, headache, constipation, and diarrhea. PmHx: DM type 1 Meds: NPH insulin 30 units BID Humalog 10 units with meals Allergies: NKDA Vital Signs: BP = 128/78 HR = 76 RR = 20 Wt = 200 Ibs Ht= 5'10" Physical Exam: no abnormalities except Labs: Na 136 Hgb 13.8 TSH 2.4 K Total chol 4.8 Hct 39.4 209 BUN 23 WBC 4.5 LDL 103 Creatinine 1.4 A1c 9.8 HDL 55 Glucose 240 TG 180

CC: My blood sugars have not been very good lately. Im doing everything I am supposed to be doing HPI: A 24-year-old male patient comes to your primary care clinic to establish care. He has type 1 diabetes mellitus diagnosed at age 11. He has not seen a provider in about 9 months. Currently, he is taking NPH insulin 30 units bid (8 a.m. and 6 p.m.) with 10 units Humalog before each meal. He does not take any other medications. He does not use tobacco products but does drink alcohol on the weekends. He reports checking blood glucose (BG) levels three to four times daily but did not bring his glucose log or meter. He reports his fasting blood sugar runs 150 to 190 and prandial glucose readings are 140- 250. He reports hypoglycemic episodes one to two times per week. He exercises intermittently but is not on a regular schedule. He does not eat on a regular schedule every day although he says he knows that he should. He works at a light-activity job 8 hours daily. Reports fatigue and nausea at times. Unsure of polydipsia or polyuria. Denies fevers, chills, weight loss, malaise, SOB, palpitations, dizziness, headache, constipation, and diarrhea. PmHx: DM type 1 Meds: NPH insulin 30 units BID Humalog 10 units with meals Allergies: NKDA Vital Signs: BP = 128/78 HR = 76 RR = 20 Wt = 200 Ibs Ht= 5'10" Physical Exam: no abnormalities except Labs: Na 136 Hgb 13.8 TSH 2.4 K Total chol 4.8 Hct 39.4 209 BUN 23 WBC 4.5 LDL 103 Creatinine 1.4 A1c 9.8 HDL 55 Glucose 240 TG 180

Phlebotomy Essentials
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
See similar textbooks
icon
Related questions
icon
Concept explainers
Question

What are appropriate diagnostics, lab work, and follow-up assessments for this patient?

CC: My blood sugars have not been very good lately. I'm doing everything I am supposed to be doing HPI: A 24-year-old male patient comes to your primary care clinic to establish care. He has type 1 diabetes mellitus diagnosed at age 11. He has not seen a provider in about 9 months. Currently, he is taking NPH insulin 30 units bid (8 a.m. and 6 p.m.) with 10 units Humalog before each meal. He does not take any other medications. He does not use tobacco products but does drink alcohol on the weekends. He reports checking blood glucose (BG) levels three to four times daily but did not bring his glucose log or meter. He reports his fasting blood sugar runs 150 to 190 and prandial glucose readings are 140- 250. He reports hypoglycemic episodes one to two times per week. He exercises intermittently but is not on a regular schedule. He does not eat on a regular schedule every day although he says he knows that he should. He works at a light-activity job 8 hours daily. Reports fatigue and nausea at times. Unsure of polydipsia or polyuria. Denies fevers, chills, weight loss, malaise, SOB, palpitations, dizziness, headache, constipation, and diarrhea. PmHx: DM type 1 Meds: NPH insulin 30 units BID Humalog 10 units with meals Allergies: NKDA Vital Signs: BP = 128/78 HR = 76 RR = 20 Wt = 200 Ibs Ht= 5'10" Physical Exam: no abnormalities except Labs: Na 136 Hgb 13.8 TSH 2.4 K 4.8 Hct 39.4 Total chol 209 BUN 23 WBC 4.5 LDL 103 Creatinine 1.4 A1c 9.8 HDL 55 Glucose 240 TG 180
Transcribed Image Text:CC: My blood sugars have not been very good lately. I'm doing everything I am supposed to be doing HPI: A 24-year-old male patient comes to your primary care clinic to establish care. He has type 1 diabetes mellitus diagnosed at age 11. He has not seen a provider in about 9 months. Currently, he is taking NPH insulin 30 units bid (8 a.m. and 6 p.m.) with 10 units Humalog before each meal. He does not take any other medications. He does not use tobacco products but does drink alcohol on the weekends. He reports checking blood glucose (BG) levels three to four times daily but did not bring his glucose log or meter. He reports his fasting blood sugar runs 150 to 190 and prandial glucose readings are 140- 250. He reports hypoglycemic episodes one to two times per week. He exercises intermittently but is not on a regular schedule. He does not eat on a regular schedule every day although he says he knows that he should. He works at a light-activity job 8 hours daily. Reports fatigue and nausea at times. Unsure of polydipsia or polyuria. Denies fevers, chills, weight loss, malaise, SOB, palpitations, dizziness, headache, constipation, and diarrhea. PmHx: DM type 1 Meds: NPH insulin 30 units BID Humalog 10 units with meals Allergies: NKDA Vital Signs: BP = 128/78 HR = 76 RR = 20 Wt = 200 Ibs Ht= 5'10" Physical Exam: no abnormalities except Labs: Na 136 Hgb 13.8 TSH 2.4 K 4.8 Hct 39.4 Total chol 209 BUN 23 WBC 4.5 LDL 103 Creatinine 1.4 A1c 9.8 HDL 55 Glucose 240 TG 180
Expert Solution
trending now

Trending now

This is a popular solution!

steps

Step by step

Solved in 2 steps

SEE SOLUTIONCheck out a sample Q&A here
Blurred answer
Knowledge Booster
Musculoskeletal system
Learn more about
Need a deep-dive on the concept behind this application? Look no further. Learn more about this topic, nursing and related others by exploring similar questions and additional content below.
Similar questions
  • SEE MORE QUESTIONS
Recommended textbooks for you
Phlebotomy Essentials
Phlebotomy Essentials
Nursing
ISBN:
9781451194524
Author:
Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:
JONES+BARTLETT PUBLISHERS, INC.
Gould's Pathophysiology for the Health Profession…
Gould's Pathophysiology for the Health Profession…
Nursing
ISBN:
9780323414425
Author:
Robert J Hubert BS
Publisher:
Saunders
Fundamentals Of Nursing
Fundamentals Of Nursing
Nursing
ISBN:
9781496362179
Author:
Taylor, Carol (carol R.), LYNN, Pamela (pamela Barbara), Bartlett, Jennifer L.
Publisher:
Wolters Kluwer,
Fundamentals of Nursing, 9e
Fundamentals of Nursing, 9e
Nursing
ISBN:
9780323327404
Author:
Patricia A. Potter RN MSN PhD FAAN, Anne Griffin Perry RN EdD FAAN, Patricia Stockert RN BSN MS PhD, Amy Hall RN BSN MS PhD CNE
Publisher:
Elsevier Science
Study Guide for Gould's Pathophysiology for the H…
Study Guide for Gould's Pathophysiology for the H…
Nursing
ISBN:
9780323414142
Author:
Hubert BS, Robert J; VanMeter PhD, Karin C.
Publisher:
Saunders
Issues and Ethics in the Helping Professions (Min…
Issues and Ethics in the Helping Professions (Min…
Nursing
ISBN:
9781337406291
Author:
Gerald Corey, Marianne Schneider Corey, Cindy Corey
Publisher:
Cengage Learning
SEE MORE TEXTBOOKS