
(1)
To determine:
Before his surgery, B.G’s hemoglobin A1C level was 9%. This value implies about his glycemic control.
Case summary:
B.G., age 58 years, was diagnosed with type 2 adult-onset diabetes mellitus 10 years ago. Although he has type 2 diabetes mellitus, he needed to take insulin for the past 2 years. He had been recovering, without complications, from a laparoscopic cholecystectomy, but his blood glucose levels have shown some wide fluctuations over the past 24 hours. The physician has changed B.G.’s insulin from regular to lispro (Humalog) to see if it will provide better control of his blood glucose levels.
(2)
To answer:
While reviewing the instructions for the lispro insulin, B.G.states, “I took my regular insulin shots about 30 minutes before my meals. Hopefully, I can keep that same routine.” How will the nurse respond to this statement?
Case summary:
B.G., age 58 years, was diagnosed with type 2 adult-onset diabetes mellitus 10 years ago. Although he has type 2 diabetes mellitus, he needed to take insulin for the past 2 years. He had been recovering, without complications, from a laparoscopic cholecystectomy, but his blood glucose levels have shown some wide fluctuations over the past 24 hours. The physician has changed B.G.’s insulin from regular to lispro (Humalog) to see if it will provide better control of his blood glucose levels.
(3)
To determine:
After his discharge, B.G. wakes up one morning feeling nauseated. He gives himself the lispro insulin injection, but then after eating breakfast, he vomits and cannot keep any food down. What must he do this time?
Case summary:
B.G., age 58 years, was diagnosed with type 2 adult-onset diabetes mellitus 10 years ago. Although he has type 2 diabetes mellitus, he needed to take insulin for the past 2 years. He had been recovering, without complications, from a laparoscopic cholecystectomy, but his blood glucose levels have shown some wide fluctuations over the past 24 hours. The physician has changed B.G.’s insulin from regular to lispro (Humalog) to see if it will provide better control of his blood glucose levels.

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Chapter 32 Solutions
Pharmacology and the Nursing Process
- CATH LAB FUNDAMENTALS I WORKSHEET #3 Patient #1 AO 113/68 M CaO2 mi/L LV 113/15 CvO2 ml/L RA M9 C.O. L/Min RV 33/8 S.V. PA 33/16 M C.I. ml/beat L/Min/M2 PAW M 17 S.I. ml/beat/M2 Hgb 15.1 S.V.R Dynes/sec/cm³ Hct % T.P.R Dynes/sec/cm³ PA Sat 69% P.V.R Dynes/sec/cm³ AO Sat 90% BSA M² HR 83BPM 02 Cons. _215_ml/min Ht _5_ft_5_in Wt. _213_ lbs Patient #2 AO 155/92 M CaO2 ml/L LV 155/21 CvO2 ml/L RA M 12 C.O. L/Min RV 41/22 S.V. ml/beat PA 41/20 M C.I. L/Min/M2 PAW M 20 S.I. Hgb S.V.R Hct 39 % T.P.R ml/beat/M2 Dynes/sec/cm³ Dynes/sec/cm³ 3 PA Sat 65 % P.V.R Dynes/sec/cm³ AO Sat _91 % BSA M² HR 88 BPM 02 Cons. 360 ml/min Ht 5 ft 11 in Wt. 169 lbs NAME:arrow_forwardCATH LAB FUNDAMENTALS I WORKSHEET #1 Patient #1 AO 151/89 M CaO2 mV/L LV 151/25 CvO2 mV/L RA M 17 C.O. L/Min RV 61/17 S.V. ml/beat PA 61/25 M C.I. L/Min/M2 PAW M 25 S.I. ml/beat/M2 Hgb S.V.R Dynes/sec/cm³ Hct 45% T.P.R Dynes/sec/cm³ PA Sat 68% P.V.R Dynes/sec/cm³ AO Sat 92% BSA M² HR 89 BPM 02 Cons. 245 ml/min Ht _5_ft_7_in Wt. _235 lbs Patient #2 AO 121/61 M CaO2 ml/L LV 151/19 CvO2 ml/L RA M 15 C.O. L/Min RV 51/15 S.V. ml/beat PA 51/20 M C.I. L/Min/M2 PAW M 19 S.I. ml/beat/M2 Hgb 15.2 S.V.R Dynes/sec/cm³ Hct % T.P.R Dynes/sec/cm³ PA Sat 76% P.V.R Dynes/sec/cm³ AO Sat 99% BSA M² HR 79 BPM Ht 02 Cons. 213 ml/min _5_ft_10 in Wt. _ 185 lbs 1arrow_forwardCATH LAB FUNDAMENTALS I WORKSHEET #1 Patient #1 AO 151/89 M CaO2 mV/L LV 151/25 CvO2 mV/L RA M 17 C.O. L/Min RV 61/17 S.V. ml/beat PA 61/25 M C.I. L/Min/M2 PAW M 25 S.I. ml/beat/M2 Hgb S.V.R Dynes/sec/cm³ Hct 45% T.P.R Dynes/sec/cm³ PA Sat 68% P.V.R Dynes/sec/cm³ AO Sat 92% BSA M² HR 89 BPM 02 Cons. 245 ml/min Ht _5_ft_7_in Wt. _235 lbs Patient #2 AO 121/61 M CaO2 ml/L LV 151/19 CvO2 ml/L RA M 15 C.O. L/Min RV 51/15 S.V. ml/beat PA 51/20 M C.I. L/Min/M2 PAW M 19 S.I. ml/beat/M2 Hgb 15.2 S.V.R Dynes/sec/cm³ Hct % T.P.R Dynes/sec/cm³ PA Sat 76% P.V.R Dynes/sec/cm³ AO Sat 99% BSA M² HR 79 BPM Ht 02 Cons. 213 ml/min _5_ft_10 in Wt. _ 185 lbs 1arrow_forward
- CATH LAB FUNDAMENTALS I WORKSHEET #6 Patient #1 AO 199/110 M CaO2 ml/L LV 199/24 CvO2 ml/L RA M 16 C.O. L/Min RV 41/16 S.V. ml/beat PA 41/25 M C.I. L/Min/M2 PAW M 24 S.I. ml/beat/M2 Hgb 15.1 S.V.R Dynes/sec/cm³ Hct % T.P.R Dynes/sec/cm³ PA Sat 71% P.V.R Dynes/sec/cm³ AO Sat 96% BSA M² HR 61 BPM 02 Cons. Ht 216 ml/min 4_ft_11_in Wt. _171_lbs Patient #2 AO 101/62 M CaO2 ml/L LV 101/12 CvO2 ml/L RA M 5 C.O. L/Min RV 20/5 S.V. ml/beat PA 20/10 M C.I. L/Min/M2 PAW M 12 S.I. ml/beat/M2 Hgb S.V.R Dynes/sec/cm³ Hct 43% T.P.R Dynes/sec/cm³ PA Sat 75% P.V.R Dynes/sec/cm³ AO Sat 97% BSA M² HR 68 BPM O2 Cons. 235 ml/min Ht _5_ft_5 in Wt. 145 lbsarrow_forwardCATH LAB FUNDAMENTALS I WORKSHEET #5 Patient #1 AO 112/63 M CaO2 ml/L LV 112/12 CvO2 ml/L RA M 8 C.O. L/Min RV 25/8 S.V. ml/beat PA 25/13 M C.I. L/Min/M2 PAW M 13 S.I. ml/beat/M2 Hgb 14.8 S.V.R Dynes/sec/cm³ Hct % T.P.R Dynes/sec/cm³ PA Sat 76% P.V.R Dynes/sec/cm³ AO Sat 96% BSA M² HR 82 BPM O2 Cons. 241 ml/min Ht _5_ft_9_in Wt. _180 lbs Patient #2 AO 140/82 M CaO2 ml/L LV 140/15 CvO2 ml/L RA M 12 C.O. L/Min RV 31/12 S.V. ml/beat PA 31/15 M C.I. L/Min/M2 PAW M 15 S.I. ml/beat/M2 Hgb 13.6 S.V.R Dynes/sec/cm³ Hct % T.P.R Dynes/sec/cm³ PA Sat 74% P.V.R Dynes/sec/cm³ AO Sat 93% BSA M² HR 71 BPM 02 Cons. 290 ml/min Ht _5_ft_0 in Wt. 188 lbsarrow_forwardCATH LAB FUNDAMENTALS I WORKSHEET #6 Patient #1 AO 199/110 M CaO2 ml/L LV 199/24 CvO2 ml/L RA M 16 C.O. L/Min RV 41/16 S.V. ml/beat PA 41/25 M C.I. L/Min/M2 PAW M 24 S.I. ml/beat/M2 Hgb 15.1 S.V.R Dynes/sec/cm³ Hct % T.P.R Dynes/sec/cm³ PA Sat 71% P.V.R Dynes/sec/cm³ AO Sat 96% BSA M² HR 61 BPM 02 Cons. Ht 216 ml/min 4_ft_11_in Wt. _171_lbs Patient #2 AO 101/62 M CaO2 ml/L LV 101/12 CvO2 ml/L RA M 5 C.O. L/Min RV 20/5 S.V. ml/beat PA 20/10 M C.I. L/Min/M2 PAW M 12 S.I. ml/beat/M2 Hgb S.V.R Dynes/sec/cm³ Hct 43% T.P.R Dynes/sec/cm³ PA Sat 75% P.V.R Dynes/sec/cm³ AO Sat 97% BSA M² HR 68 BPM O2 Cons. 235 ml/min Ht _5_ft_5 in Wt. 145 lbsarrow_forward
- CATH LAB FUNDAMENTALS I WORKSHEET #4 Patient #1 NAME: _ AO 145/100 M CaO2 _____ml/L LV 145/25 CvO2______ ml/L RA M 16 c.o. ______L/Min RV 41/16 S.V. _____ml/beat PA 41/25 M C.I. ______UMin/M2 PAW M25 S.I. _______ml/beat/M2 Hgb 13.1 S.V.R _______Dynes/sec/cm5 Hct % T.P.R________ Dynes/sec/cm5 PA Sat 65% P.V.R _______Dynes/sec/cm5 AO Sat 88% BSA __________M2 HR 120 BPM 02 Cons. 255 ml/min Ht-- 5- ft-7- in Wt. 198 lbsarrow_forwardCATH LAB FUNDAMENTALS I WORKSHEET #1 Patient #1 AO 151/89 M CaO2 mV/L LV 151/25 CvO2 mV/L RA M 17 C.O. L/Min RV 61/17 S.V. ml/beat PA 61/25 M C.I. L/Min/M2 PAW M 25 S.I. ml/beat/M2 Hgb S.V.R Dynes/sec/cm³ Hct 45% T.P.R Dynes/sec/cm³ PA Sat 68% P.V.R Dynes/sec/cm³ AO Sat 92% BSA M² HR 89 BPM 02 Cons. 245 ml/min Ht _5_ft_7_in Wt. _235 lbs Patient #2 AO 121/61 M CaO2 ml/L LV 151/19 CvO2 ml/L RA M 15 C.O. L/Min RV 51/15 S.V. ml/beat PA 51/20 M C.I. L/Min/M2 PAW M 19 S.I. ml/beat/M2 Hgb 15.2 S.V.R Dynes/sec/cm³ Hct % T.P.R Dynes/sec/cm³ PA Sat 76% P.V.R Dynes/sec/cm³ AO Sat 99% BSA M² HR 79 BPM Ht 02 Cons. 213 ml/min _5_ft_10 in Wt. _ 185 lbs 1arrow_forwardHow will knowing how to "Optimize Muscle Health in Aging" help a future dietitian in their practice? - Need a longer explanation that isn't bullet pointsarrow_forward
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