Medicine College

Mr. Hendrickson age 61 is a retired engineer who has been married 36 years and has a wife, 2 adult children and 3 grandchildren. He is fairly active socially and physically. Mr. Hendrickson has been diagnosed with Diabetes Mellitus Type 2 just 1 year ago. He is presently taking a short acting and intermediate acting type of Insulin. Respond to the following questions:
1. What assessments are required for the medications Mr. Hendrickson is taking and what is the rationale for each assessment?
2. What major cautions or contraindications should be taken into consideration for Mr. Hendrickson’s medications? Why?
3. What is the rationale for knowing the peak times for Insulin?

Answers

Answer 1

1. The following assessments are required for the medications that Mr. Hendrickson is taking:Blood glucose levels -Fasting and postprandial blood glucose levels should be checked on a regular basis to assess the efficacy of the medication in controlling hyperglycemia.

Additionally, these assessments help in identifying whether Mr. Hendrickson requires additional medication or a change in the current medication type and dose.Creatinine levels-The creatinine level test helps to evaluate kidney function. This is crucial as prolonged use of insulin can increase the risk of nephropathy.Lipid profile-Lipid profile test assesses serum cholesterol and triglyceride levels. Hyperlipidemia in patients with diabetes mellitus increases the risk of cardiovascular complications.

2. The major cautions and contraindications that should be taken into consideration for Mr. Hendrickson’s medications include:Allergies- Mr. Hendrickson should be assessed for allergies to insulin or other drug components.Diabetic ketoacidosis (DKA)- The use of short-acting and intermediate-acting insulin should be avoided during DKA, as these types of insulin may take a longer time to act and can cause severe hypoglycemia. Hypersensitivity to the medication may also lead to DKA.

Hypoglycemia- Symptoms of hypoglycemia include sweating, confusion, tremors, and tachycardia. These symptoms are crucial in assessing medication efficacy, but the patient should be educated on the need for self-monitoring blood glucose levels and identification of hypoglycemia symptoms.

3. The rationale for knowing the peak times for insulin is to help patients anticipate when they will experience a hypoglycemic episode and adjust their diet, exercise, and medication regimen accordingly. The onset, peak, and duration of insulin action help to guide patient care, such as carbohydrate intake during peak times to reduce the risk of hypoglycemia. Additionally, it helps to identify whether a patient requires additional medication or a change in the current medication type and dose.

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Related Questions

What steps a medical team can take to help a patient who have a
signs of trauma?

Answers

When a patient shows signs of trauma, the medical team must take immediate action to stabilize the patient and treat any injuries.

Here are some steps the medical team can take to help a patient who has signs of trauma: Assess the situation: The medical team must first assess the situation and determine the extent of the trauma. They must evaluate the patient's physical, mental, and emotional condition and gather as much information about the incident as possible. This will help them make informed decisions on how to proceed with the patient's treatment and care.

Communicate with the patient and their family: Finally, the medical team must communicate clearly and effectively with the patient and their family members throughout the treatment and recovery process. They must explain the patient's condition, the treatment plan, and any potential complications or side effects of the treatment. They must also listen to the patient and their family's concerns and answer any questions they may have.

Overall, when a patient shows signs of trauma, the medical team must act quickly and efficiently to stabilize the patient, treat any injuries, and provide emotional and psychological support to aid in their recovery.

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