This assignment contains 2 scenarios 5 questions that follow each one and then 2 final questions about dosages.
Scenario
1:
A 27 year old
female patient with a long history of diabetes mellitus presents to the office
for her annual physical and to go over the results of her blood work with the
doctor. During the patient history section of the examination, the
patient states that she has been experiencing increased hunger, urination
frequency, and heartburn. In addition, she has noticed that when driving,
the cars next to her are tougher for her to see. She also states that her
neck and shoulders are tight and achy.
The blood work
comes back with the following results:
Fasting
Glucose: 108mg/dl
HgbA1c: 8.0%
Chloride: 115
mEq/L
Potassium: 5.9
mEq/L
Sodium: 155
mEq/L
Calcium:
8.9mg/dl
Magnesium: 1.5
mg/dl
Phosphorus: 5.1
mg/d
Answers
should be no longer than 50 words
1.
What
information did the patient give during the exam that suggests uncontrolled
diabetes? (Give specific information, do not include lab values in your answer
to this question.)
2.
Based
on your answer from Question 1, explain how these symptoms are related to
diabetes mellitus.
3.
List
specific values from the blood work that indicate uncontrolled
diabetes.
4.
Based
on your answer from Question 3, briefly explain why these values are associated
with the patient?s uncontrolled diabetes.
5.
When
the doctor goes over the blood results, the patient states she has been
complying with the treatment plan for her diabetes. She points out should
that her fasting blood glucose number is within the normal range. How
would it be explained to the patient why the HgbA1c is a better method for
looking at look term glucose levels and why the fasting blood glucose does not
provide the full picture?
Scenario 2:
A 43 year old
female patient presents to the office with a surgical history of thyroidectomy
and cc of ?feeling cold? and fatigue. Examination revealed an overweight female
with hyporeflexia, psoriasis, and cool skin. The patient has been taking Synthroid
25mg PO Daily as part of her treatment plan.
The following
blood work results were obtained:
Thyroid
Function Tests:
T4: 4.5 ?g/dl
T3: 70 ng/dl
TSH: 5.4 IU/L
Electrolytes:
Chloride:
100mEq/L
Potassium: 4.9
mEq/L
Sodium: 125
mEq/L
Calcium: 11.2
mg/dl
Magnesium: 1.5
mg/dl
Phosphorus: 2.0
mg/dl
1.
List
specific values from the blood work related to the thyroidectomy.
2.
Based
on your answer from Question 6, briefly explain how the values from the Thyroid
Function Tests are associated with the patient?s history of thyroidectomy.
3.
Based
on your answer from Question 6, briefly explain how the values from the
Electrolyte tests are associated with the patient?s history of thyroidectomy.
4.
Explain
how this patient?s presentation and examination findings are associated with
the patient?s history of thyroidectomy. (Use specifics information for Scenario
2 in your answer.)
5.
Based
on the blood work and the patient?s exam, the doctor decides to increase the
level of Synthroid the patient is taking to 75mg daily. The patient still
has her 25mg tablets at home. How many tablets should the patient take to
meet the new dosage? (Be sure to include units in you answer.)
A medication
order for 2mcg of desmopressin acetate to be injected for a patient with Diabetes
Insipidus. The vial available is desmopressin acetate 4 mcg/mL. How
much should be injected?
A patient
with hypoparathyroidism needs to take 1000mg of calcium and 600 units of
vitamin D daily to comply with the doctor?s order. She has a bottle of
Calcium Carbonate-Vitamin D3 that contains 250mg ? 125 unit tablets. How
many should the patient take?
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