NSG 6005 Week 8 – Assignment 1 Discussion
AG is a sixty-nine-year-old male who presents for an initial visit with a complaint of blurred vision
Select one of the two questions from the discussion questions listed below .By Week 8, Day 3, respond to the selected discussion question and submit your response to this Discussion Area .
Be sure to respond to the question using the lessons and vocabulary found in the reading .Justify your answers using examples and reasoning .Support your answers with examples and research and cite your research using APA format. AG is a sixty-nine-year-old male
Start reviewing and responding to the postings of your classmates as early in the week as possible .Respond to at least two of your classmates’ posts .Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. AG is a sixty-nine-year-old male
NSG 6005 Week 8 – Assignment 1 Discussion Question 1
There are multiple issues to consider in caring for someone with diabetes II .Your course textbook lists these as:
- Race and Ethnic Group
- Coronary Artery Disease and Heart Failure
From this group, select two specific issues and explain the importance of that variable in the treatment of diabetes .Explain how a provider needs to approach the patient and how these considerations would influence the selection of agents for the treatment of diabetes and related complications. AG is a sixty-nine-year-old male
NSG 6005 Week 8 Assignment 2 Quiz
1 .Question : When blood glucose levels are difficult to control in type II diabetes, some form of insulin may be added to the treatment regimen to control blood glucose and limit complications risks .Which of the following statements are accurate based on research?
- Premixed insulin analogues are better at lowering hemoglobin A1c and have less risk for hypoglycemia .
- Premixed insulin analogues and the newer premixed insulins are associated with more weight gain than the oral antidiabetic agents .
- Newer premixed insulins are better at lowering hemoglobin A1c and postprandial glucose levels than are long-acting insulins .
- Patients who are not controlled on oral agents and have postprandial hyperglycemia can have NPH insulin added at bedtime .
Question 2 .Lispro is an insulin analogue produced by recombinant deoxyribonucleic acid (DNA) technology .Which of the following statements about this form of insulin is not true?
- The optimal time of preprandial injection is fifteen minutes .
- The duration of action is increased when the dose is increased .
- It is compatible with NPH insulin .
- It has no pronounced peak .
Question 3 .Unlike most type II diabetics where obesity is a major issue, older adults with low body weight have higher risks for morbidity and mortality .The most reliable indicator of poor nutritional status in older adults is:
- Weight loss in previously overweight persons
- Involuntary loss of 10% of body weight in less than six months
- Decline in lean body mass over a twelve-month period
- Increase in central versus peripheral body adiposity
Question 4 .Sulfonylureas may be added to a treatment regimen for type II diabetics when lifestyle modifications and metformin are insufficient to achieve target glucose levels .Sulfonylureas have been moved to Step 2 therapy because they:
- Increase endogenous insulin secretion .
- Have a significant risk for hypoglycemia .
- Address the insulin resistance found in type II diabetics .
- Improve insulin binding to receptors .
Question 5 .The drugs recommended by the American Academy of Pediatrics for use in children with diabetes (depending upon type of diabetes) are:
- Metformin and insulin
- Sulfonylureas and insulin glargine
- Split-mixed dose insulin and GLP-1 agonists
- Biguanides and insulin lispro
NSG 6005 Week 8 – Assignment 1 Discussion Question 2
AG is a sixty-nine-year-old male who presents for an initial visit with a complaint of blurred vision, fatigue, and lack of energy .He is currently being treated for hypertension, hypothyroidism, and gouty arthritis .He is currently retired and married, with three adult children .His vital signs are unremarkable, with a body mass index (BMI) of 30 .His current medications include lisinopril 20 mg daily, allopurinol 300 mg daily, and levothyroxine 0 .088 mg daily. AG is a sixty-nine-year-old male
As per his blood work today, his A1c level is 7 .8%, his fasting blood sugar is 202, his total cholesterol is 180 mg/dL, his high-density lipoprotein (HDL) is 27 mg/dL, his low-density lipoprotein (LDL) is 193 mg/dL, and his triglycerides are 302 mg/dL .Answer the following questions:
- What additional blood work would you like to complete at this point? Is there any additional information that should be collected from the patient?
- Evaluate the current therapy and make recommendations concerning any needed changes .
- What lifestyle modifications or changes do you think would be appropriate for this patient?