« previous next »

Author Question: Bart is a patient is a 67-year-old male with T2 DM. He is on glipizide and metformin. He presents to ... (Read 81 times)

Kikoku

  • Hero Member
  • *****
  • Posts: 540
on: Jul 24, 2018
Bart is a patient is a 67-year-old male with T2 DM. He is on glipizide and metformin. He presents to the clinic with confusion, sluggishness, and extreme thirst.
 
  His wife tells you Bart does not follow his meal plan or exercise regularly, and hasn't checked his BG for 1 week. A random glucose is drawn and it is 500. What is a likely diagnosis based on preliminary assessment?
  1. Diabetic keto acidosis (DKA)
  2. Hyperglycemic hyperosmolar syndrome (HHS)
  3. Infection
  4. Hypoglycemia

Question 2

A patient on metformin and glipizide arrives at her 11:30 a.m. clinic appointment diaphoretic and dizzy. She reports taking her medication this morning and ate a bagel and coffee for breakfast. BP is 110/70 and random finger-stick glucose is 64.
 
  How should this patient be treated?
  1. 12 oz apple juice with 1 tsp sugar
  2. 10 oz diet soda
  3. 8 oz milk or 4 oz orange juice
  4. 4 cookies and 8 oz chocolate milk


Alyson.hiatt@yahoo.com

  • Sr. Member
  • ****
  • Posts: 354
Reply #1 on: Jul 24, 2018
Answer to Question 1

ANS: 2
RATIONALE: HHS is the most likely diagnosis based on diagnosis, age, and signs and symptoms. DKA may occur in T2 diabetes, but initially HHS would be suspect.

Answer to Question 2

ANS: 3
RATIONALE: Approximately 15 grams of fast-acting CHO is the treatment of choice. Diet soda would not treat hypoglycemia. The other choices would overtreat and cause rebound hyperglycemia.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

The first successful kidney transplant was performed in 1954 and occurred in Boston. A kidney from an identical twin was transplanted into his dying brother's body and was not rejected because it did not appear foreign to his body.

Did you know?

Fewer than 10% of babies are born on their exact due dates, 50% are born within 1 week of the due date, and 90% are born within 2 weeks of the date.

Did you know?

There used to be a metric calendar, as well as metric clocks. The metric calendar, or "French Republican Calendar" divided the year into 12 months, but each month was divided into three 10-day weeks. Each day had 10 decimal hours. Each hour had 100 decimal minutes. Due to lack of popularity, the metric clocks and calendars were ended in 1795, three years after they had been first marketed.

Did you know?

Adult head lice are gray, about ? inch long, and often have a tiny dot on their backs. A female can lay between 50 and 150 eggs within the several weeks that she is alive. They feed on human blood.

Did you know?

Of the estimated 2 million heroin users in the United States, 600,000–800,000 are considered hardcore addicts. Heroin addiction is considered to be one of the hardest addictions to recover from.

Male gorilla Male gorilla
Palpating the thyroid gland from behind the patient is a most effective way of assessing the gland f Palpating the thyroid gland from behind the patient is a most effective way of assessing the gland f
Male genitourinary system. Male genitourinary system.
Patient teaching: female breast assessment Patient teaching: female breast assessment
Chelsea Donahue has a​ 20-year home mortgage of ​78,000 at​ 7.50% interest and will pay ... Chelsea Donahue has a​ 20-year home mortgage of ​78,000 at​ 7.50% interest and will pay ...
Threat Display: Male Collared Lizard Threat Display: Male Collared Lizard
Video: Semidiscontinuous DNA replication

For a complete list of videos, visit our video library