EBK PHARMACOLOGY AND THE NURSING PROCES
EBK PHARMACOLOGY AND THE NURSING PROCES
8th Edition
ISBN: 9780323358989
Author: Snyder
Publisher: Elsevier Course Content Deliv.
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Chapter 32, Problem 9O
Summary Introduction

To develop:

The nursing care plan that includes all phases of a nursing process for patients with type 1 or types 2 diabetes with a focus on drug therapies.

Concept introduction:

Diabetes mellitus is a clinical condition that is related to metabolism. Insulin decreases the blood glucose concentration, hence, insulin deficiency and insulin receptor defects cause this major 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. Type 2 diabetes mellitus is commonly found in adults and it is not dependent on insulin. This type is characterized by a defect in insulin receptors. Obesity is the common cause of this type of diabetes mellitus.

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A 65 year old male with a small bowel obstruction is to be started on TPN. He is 5’ 9” and weighs 70 kg.  3.1 What is his kcal requirements using Mifflin St Jeor equation? Assume an activity factor of 1.2. 1770 kcal 1980 kcal 2020 kcal 2080 kcal 3.2 What is his fluid requirements (ml)? 2000 ml 2100 ml 2200 ml 2300 ml 3.3 The patient has just undergone a small bowel resection. His albumin dropped to 2.2. He has no significant past medical history except for a minor bicycle accident when he was 10 years old. How many grams of protein will this patient require based on your assessment? 105 – 126 g/day 110 – 130 g/day 84 – 105 g/day 110 – 180 g/day
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