Jessica Sagat, 21 years old, is a type 1 diabetic client. She has been ill for the past several days and is unable to control her blood sugar. She has developed elevated blood sugar, nausea, vomiting, rapid and deep respirations, and a fruity odor to her breath. An arterial blood gas (ABG) is taken and the results are pH 7.30, PaCO2 43 mm Hg, Bicarb (HCO3) 19 mEq/L, and PaO2 93 mmHg.(Learning Objective10) 1. What type of acid-base imbalance is this client experiencing? What components of the acid-base balance system are involved in this imbalance? 2. What are the normal ABG values

Jessica Sagat, 21 years old, is a type 1 diabetic client. She has been ill for the past several days and is unable to control her blood sugar. She has developed elevated blood sugar, nausea, vomiting, rapid and deep respirations, and a fruity odor to her breath. An arterial blood gas (ABG) is taken and the results are pH 7.30, PaCO2 43 mm Hg, Bicarb (HCO3) 19 mEq/L, and PaO2 93 mmHg.(Learning Objective10) 1. What type of acid-base imbalance is this client experiencing? What components of the acid-base balance system are involved in this imbalance? 2. What are the normal ABG values

Curren'S Math For Meds: Dosages & Sol

11th Edition

ISBN:9781305143531

Author:CURREN

Publisher:CURREN

Chapter16: Adult And Pediatric Dosages Based On Body Surface Area

Section: Chapter Questions

Problem 5.2P

See similar textbooks

Similar questions

Mr Nguyen is an overweight 40 year old who has recently been diagnosed with type 2 diabetes. He has been started on Metformin but has been complaining of diarrhoea, some abdominal pain and loss of appetite. He continues to work as a taxi driver and often works the night shift as he has young school aged children. His HbA1c is 8%. The medical staff are considering adding Exenatide to his medication regime. Outline the mode of action of Metformin and Exenatide and why these drugs may be prescribed together. Describe factors to be considered when administering each of these drugs.
Gloria Gonzales is a 56-year-old Hispanic female with a history of type 2 diabetes mellitus, obesity, and hypertension. She was admitted to the medical unit 2 days ago with chest pain that was unrelieved with three nitroglycerin sublingual. She has had the following lab work: CK, LDH, AST, troponin, lipid levels, and an ECG stress test. She is scheduled to have a cardiac catheterization in the morning. (Learning Objectives 1, 3, 4, 7, 12, 13) 1.Explain the rationales for the laboratory tests and ECG stress test. 2. What should the nurse do to prepare for the cardiac catheterization that is scheduled? 3. According to Mrs. Gonzales’ medical history, what has contributed to her myocardial infarction? 4. What should the nurse anticipate doing to prepare Mrs. Gonzales to be discharged?
Gloria Gonzales is a 56-year-old Hispanic female with a history of type 2 diabetes mellitus, obesity, and hypertension. She was admitted to the medical unit 2 days ago with chest pain that was unrelieved with three nitroglycerin sublingual. She has had the following lab work: CK, LDH, AST, troponin, lipid levels, and an ECG stress test. She is scheduled to have a cardiac catheterization in the morning. 4. What should the nurse anticipate doing to prepare Mrs. Gonzales to be discharged?
Situation: Mrs. Corona was diagnosed of Diabetes Mellitus Type II. She was admitted to the Emergency due to dizziness, headache frequency of urination at night and complained of very hungry. Her weight suddenly decreases for the past months from 140 lbs to 110 lbs also feeling tired and having dry skin. She sought admission due to the following signs and symptoms. Her hemogluco test (blood sugar) level is from 180 - 200mg / dl 2 hours after eating. The best and correct ecologic model for Mrs. Corona? a. Web Model b. Triangle model c. Wheel model d. All the choices
A 56-year-old woman named Cranberry complained during her yearly physical examination of tiredness and difficulty concentrating. She attributed these symptoms to stress at work. She had gained weight over the last year and despite warm weather, she felt chilled without a sweater. Family history was significant for hypothyroidism in her mother and older sister. On physical examination she had a pulse of 58 bpm and a blood pressure of 138/88 mm Hg. Examination of her neck disclosed a small thyroid gland with a palpable pyramidal lobe and a firm, bosselated texture. Serum taken at this time demonstrated a total T4 of 7.0 mcg/dL and a TSH of 22.0 mcIU/ml. In addition, antithyroglobulin antibodies were positive at 1:640 and antimicrosomal antibodies were positive at 1:5120. These results supported the clinical impression of hypothyroidism; also, the texture of her thyroid gland and a positive family history suggested an autoimmune etiological factor. Create a Nursing Care Plan focusing…
A 56-year old maintenance worker, with a past medical history of insulin dependent diabetes, CHF, and hypertension, presents to the emergency room with lightheadedness, lethargy, and periods of confusion. Patient family members found him unconscious outside. Wife states, “he’s been at it for over a weeknow” Medications: Insulin, Lasix, Digoxin and Vasotec: were:Temperature Pulse Respirations36.7C 118 18On examination, the patient has slurred speech with decreased upper and lower motor strength bilaterally 4/5. While examining the patient, he experienced loss of consciousness that lasted less than half a minute. The nurse, drew labs, administered oxygen via NC, Established IV line access and placed patient on a monitor. Lab resultsVitals on admission Blood Pressure 103/61 Electrolytes – in emergency room Hematocrit –PotassiumSodiumPhosphorus 2.6 mg/dL BicarbonateCalciumCreatinineSerum Osmolarity Glucose38%3.3 mEQ/L147 mEQ/L21 mEq/L 7.6 mg/dL2.4 mg/dL321 mmol/kg 389 mg/dL…
"Diabetes and its Type"discuss the topic in following points. 1) Introduction 2) Types 3) Cause 4) Precaution 5) Risks 6) Medication and treatment 7) Who are mainly affected [Note the answer must be in details explanation and information] *Urgent Please*
Situation: You are caring for Zara, an adult, diagnosed with dengue. She is also diabetic for 1 year and is taking amlodipine 5 mg daily (Calcium channel blocker/anti-hypertensive drug) and metformin (Hypoglycemic agent) as her maintenance. Vital signs are BP: 130/90, PR: 88 bpm, RR: 19 cpm, and afebrile. Her Serum potassium level is 7.5 mEq/L. TRUE OR FALSE 1.The physician prescribed a restricted low sodium diet to your client. If Zara retains this diet for a long period of time... it will reduce the digestive enzymatic activity. 2. It is important for Zara to keep her GIT healthy because digestive enzymes give immune support. 3.Mango is a fruit that contains natural digestive enzymes that break down starch into sugars as it starts to ripen. 1 fruit of sweet ripe mango added to her daily meals and snacks will improve her condition. 4.Bananas contain amylases and glucosidases 5.Bananas contain natural digestive enzymes. 2 bananas per meal in a day will improve her potassium…
Patient A: Has Diabetes insipidus. They have polyuria and dilute urine. They present with some signs of sever dehydration including increased thirst, rapid respirations and rapid heart rate. Their blood pressure is low Patient B: Has Diabetes mellitus type 1. They are not taking medication for it. They are confused and lethargic. They are breathing heavy and fast and the breath has a fruity odor. They have polyuria and increased thirst. 4: For Patient A, the doctor orders a Head CT scan. She does not order this for Patient B. What would the doctor be looking for in the CT scan, and whywould this not be ordered for patient B?
Patient A: Has Diabetes insipidus. They have polyuria and dilute urine. They present with some signs of sever dehydration including increased thirst, rapid respirations and rapid heart rate. Their blood pressure is low Patient B: Has Diabetes mellitus type 1. They are not taking medication for it. They are confused and lethargic. They are breathing heavy and fast and the breath has a fruity odor. They have polyuria and increased thirst. Explain the difference between diabetes insipidusand diabetes mellitus (I swear, if you write "The name", so help me...). This answer should address the cause for these two diagnoses and what organs or organ systems are at fault, or would be investigated for this disease.
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.…
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.…