121-DIABETES: VERA WILLIAMS
Diabetes Mellitus
Textbook:
Dickinson, J. K. (2020). Diabetes mellitus. In Harding, M. M., Kwong, J., Roberts, D., Hagler, D., & Reinisch,
C. (Eds.), Lewis’ s medical-surgical nursing: Assessment and management of clinical problems (11th ed., pp.
1108-1142). St. Louis, MO: Elsevier.
ATI Skills Modules:
Diabetes Management
Blood glucose
measurement
Administering insulin
Mixing insulin
m
er as
co
eH w
STUDENT NAME: Adepeju Oni assigned 5 - 8
o.
rs e
After receiving verbal report, please utilize that information and the above listed references to respond to the
ou urc
following questions. Please be prepared to discuss your responses, as well as electronically submitting your
responses after group discussion.
o
*Med cards are divided up among individual parts of the case study*
aC s
v i y re
Part 1
1. Describe the pathophysiology and common clinical manifestations of diabetes mellitus.
ed d
ar stu
sh is
Th
2. Compare and contrast Type 1 and Type 2 Diabetes Mellitus, include information on the
production/utilization of insulin and the impact of this on treatment modalities.
Type I Type 2
This study source was downloaded by 100000819951441 from CourseHero.com on 05-15-2021 09:57:44 GMT -05:00
https://www.coursehero.com/file/93225828/Vera-Williams-Student-Document-Part-1-docx/
, 121-DIABETES: VERA WILLIAMS
3. What is the target range for blood glucose in a patient with diabetes?
4. What does HgbA1c mean and what is the target range for in a patient with diabetes?
m
er as
5. A patient has a blood sample drawn and noted to have a fasting blood glucose of 69mg/dl and a HgbA1c of
co
9%. Explain how a patient can have an elevated HgbA1c and still have a normal fasting blood glucose?
eH w
o.
HbA1c reflects the average blood sugar for the last 2 to 3 months. So an HbA1c of 9% probably means a
rs e
higher plasma glucose; but this doesn’t tell us the about the variability or swings in daily glucose levels.
ou urc
It does however show that the patient probably hasn’t been managing bs properly.
o
aC s
v i y re
ed d
6. Given that Vera has been NPO since last night for her procedure, what explains her elevated blood sugar
ar stu
this morning?
Despite being NPO, the patient would have elevated blood sugar in the morning because her brain
detects there is not enough glucose in her body, so the brain initiates the process of gluconeogenesis
sh is
where the liver releases glucagon into the blood. Physical Stress caused by illness, trauma or surgery
can also cause blood glucose to elevate due to the body’s fight or flight mechanism. This releases
Th
Glucose, Epinephrine and Cortisol.
7. Based on the patient report, what three priority problems have you identified for this patient?
Her blood glucose, nausea, and pain
This study source was downloaded by 100000819951441 from CourseHero.com on 05-15-2021 09:57:44 GMT -05:00
https://www.coursehero.com/file/93225828/Vera-Williams-Student-Document-Part-1-docx/
Diabetes Mellitus
Textbook:
Dickinson, J. K. (2020). Diabetes mellitus. In Harding, M. M., Kwong, J., Roberts, D., Hagler, D., & Reinisch,
C. (Eds.), Lewis’ s medical-surgical nursing: Assessment and management of clinical problems (11th ed., pp.
1108-1142). St. Louis, MO: Elsevier.
ATI Skills Modules:
Diabetes Management
Blood glucose
measurement
Administering insulin
Mixing insulin
m
er as
co
eH w
STUDENT NAME: Adepeju Oni assigned 5 - 8
o.
rs e
After receiving verbal report, please utilize that information and the above listed references to respond to the
ou urc
following questions. Please be prepared to discuss your responses, as well as electronically submitting your
responses after group discussion.
o
*Med cards are divided up among individual parts of the case study*
aC s
v i y re
Part 1
1. Describe the pathophysiology and common clinical manifestations of diabetes mellitus.
ed d
ar stu
sh is
Th
2. Compare and contrast Type 1 and Type 2 Diabetes Mellitus, include information on the
production/utilization of insulin and the impact of this on treatment modalities.
Type I Type 2
This study source was downloaded by 100000819951441 from CourseHero.com on 05-15-2021 09:57:44 GMT -05:00
https://www.coursehero.com/file/93225828/Vera-Williams-Student-Document-Part-1-docx/
, 121-DIABETES: VERA WILLIAMS
3. What is the target range for blood glucose in a patient with diabetes?
4. What does HgbA1c mean and what is the target range for in a patient with diabetes?
m
er as
5. A patient has a blood sample drawn and noted to have a fasting blood glucose of 69mg/dl and a HgbA1c of
co
9%. Explain how a patient can have an elevated HgbA1c and still have a normal fasting blood glucose?
eH w
o.
HbA1c reflects the average blood sugar for the last 2 to 3 months. So an HbA1c of 9% probably means a
rs e
higher plasma glucose; but this doesn’t tell us the about the variability or swings in daily glucose levels.
ou urc
It does however show that the patient probably hasn’t been managing bs properly.
o
aC s
v i y re
ed d
6. Given that Vera has been NPO since last night for her procedure, what explains her elevated blood sugar
ar stu
this morning?
Despite being NPO, the patient would have elevated blood sugar in the morning because her brain
detects there is not enough glucose in her body, so the brain initiates the process of gluconeogenesis
sh is
where the liver releases glucagon into the blood. Physical Stress caused by illness, trauma or surgery
can also cause blood glucose to elevate due to the body’s fight or flight mechanism. This releases
Th
Glucose, Epinephrine and Cortisol.
7. Based on the patient report, what three priority problems have you identified for this patient?
Her blood glucose, nausea, and pain
This study source was downloaded by 100000819951441 from CourseHero.com on 05-15-2021 09:57:44 GMT -05:00
https://www.coursehero.com/file/93225828/Vera-Williams-Student-Document-Part-1-docx/
