Self-management training for patient

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Reference no: EM133909682

Question

Part I. Discuss which disciplines would be involved with each of the four orders written.

Part II. During his acute hospital stay, discuss the differences in the role of the RDN and CDE for his treatment plan and education. (DURING HIS STAY, not outpatient follow-up)

Orders:

1. Regular insulin 1 unit/ml NS 40 mEq KCl/liter @ 300 ml/hr. Begin infusion at 0.1 unit/kg/hr = 3.7 units/hr and increase to 5 units/hr. Flush new IV tubing with 50 ml of insulin drip solution prior to connecting to patient and starting insulin infusion.

2. Labs: BMP Stat Phos Stat

Calcium Stat
UA with culture if indicated Stat Clean catch Bedside glucose Stat
Bedside I-Stat EG7 Stat
Islet cell autoantibodies screen ( /CA)
GADA
TSH
Comp metabolic panel (CMP) Thyroglobulin antibodies C-peptide
lmmunoglobulin A level Hemoglobin A1c
Tissue transglutaminase

3. NPO except for ice chips and medications. After 12 hours, clear liquids when stable. Then, advance to consistent carbohydrate diet order-70-80 g breakfast and lunch; 85-95 g dinner; 30-gram snack pm and HS.

4. Consult diabetes education team for self-management training for patient to begin education after stabilized.

Reference no: EM133909682

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