Diabetes mellitus, Biology

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1. How often should she have Glycated hemoglobin (HgbA1C) drawn?  What percentage is desired?

2. How often should she see an ophthalmologist or optometrist?

3. What should be her daily limit of calories?

4. Her healthcare provider prescribes 10 units of Lantus at bedtime. You are responsible for teaching her about Lantus. List the key points about Lantus.

5. What should her blood glucose be after eating a meal (post-parandial)?  What is normal post-prandial blood glucose in people without diabetes?

6. Her healthcare provider prescribes Lispro for Mary's post-parandial blood glucose spikes. She is to give 3 units Lispro for this spike. How will Mary administer this and at what time?

7. Mary (Type I) is encouraged to exercise at a minimum of 30 minutes daily. What special instructions should you give Mary?

Mary gives herself every morning 75/25 Lispro Protamine 43 units Subq and for each evening: 23 units of 75/25 Lispro Protamine Subq,and then Lantus 10 units @ H.S. subq

8. Determine how many units are the long-acting and how many are the short acting for morning and evening dose of 75/25 She is to check her blood sugar prior to eating at lunch: and give Humalog (lispro) 3 units ac lunch

9. How many syringes could Mary utilize each day?

10. Could an insulin pen with her scheduled doses help prevent errors?

Mary begins to feel muscle aches, low grade fever, coughing, and a severe sore throat. When she checks her blood sugar she finds it 450 mg/dl. He physician admits her to the hospital with the following orders:

Accuchecks q 30 mins until BG is less than 300 mg/dl, then q hr

1) Hydrate with 1 liter of N.S, give 500 mL over 2 hours then add an insulin drip

2) Begin an insulin drip with Humalog (Lispro) at 10 units/hr. Add 100 units to 250 mL N.S. Determine how many mL/hr will the nurse set the pump?


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