A 42-year old female with medical diagnosis of Type 2 Diabetes Mellitus, Hypertension, Hyperlipidemia, and Obesity, BMI 38 has been referred to the RDN for outpatient Medical Nutrition Therapy services. The patient was newly diagnosed one month ago following routine lab work and reports a family history of diabetes and heart disease. Patient takes a […]
This is a 59-year-old female who presents with hyperglycemia seen on day 2 of her admission. The patient is on insulin pump. The patient has uncontrolled type 1 diabetes. Insulin pump is removed and placed on insulin drip protocol. Pharmacy consult for glycemic management, HbA1c levels in a.m. We will monitor the blood sugars in […]
50. George is a 48 year old Indigenous man with end stage liver disease. He was orphaned at eight years of age and had a difficult childhood. He has “lived rough” from a young teen to now, is homeless and has alcohol addiction. He has two grown children with whom he has limited contact. He […]
An 86-year-old male presents in the vascular laboratory with a history of right leg pitting edema for 1 week. The right leg is red and warm from midthigh to the ankle. The patient has prostate cancer and IVC filter placement because of previous DVT. a. What is your first impression? b.Calculate the Well’s score for […]
An 80-year-old Spanish-speaking female with a past medical history of COPD and CHF is admitted for pneumonia, multiple falls, and a weight loss of 30lb in the past three months. She is listed as a Full Code. She has increasing oxygen needs and is on a NIPPV mask, struggling to breathe but able to talk […]
An 82-year-old client who is recovering from a fractured pelvis requires a walker to move about the room. The client is also frequently disoriented, and the family has expressed displeasure that restraints are applied when the client is put to bed at night. Which of the following responses from the nurse would be MOST therapeutic? […]