
To describe:
A 25-year-old woman has been diagnosed with type 1 diabetes mellitus. She has been placed on a 1500-calorie diabetic diet and is to be started on insulin glargine. Today she has received teaching about her diet, insulin injections, and management of diabetes. She received the first dose of insulin glargine at 9 PM; the next morning she complained of feeling “dizzy”. The nurse assesses that she is diaphoretic, weak, and pale, with a heart rate of 110 beats/min. The priority action of the nurse and the best reason for these symptoms are explained.
Concept introduction:
Hyperglycemia results in diabetes mellitus, which is a condition that has a high glucose concentration than the normal range (70 to 130 mg/dl) in fasting and above 180 mg/dl after 2 hours of a meal. Insulin deficiency and defects in insulin receptors are the reasons for this disorder. Type 1 diabetes mellitus is an autoimmune disorder that is characterized by a lack of insulin production; it mostly occurs in adolescents and children.

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Chapter 32 Solutions
Pharmacology and the Nursing Process, 8e
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