8-year-old girl was down with diabetes mellitus during the pneumonia. Diabetes mellitus is compensated by introduction of insulin Actrapid НМ 4 units in the morning, 6 units at dinner time, 4 units before supper, 2 units at о 11.00p.m. After two weeks of treatment, the girl started suffering from hypoglycaemia. A daily dosage of insulin decreased to 8 units. There is retained normoglycemia, glycosuria. What is the mitigated need for insulin associated with?

8-year-old girl was down with diabetes mellitus during the pneumonia. Diabetes mellitus is compensated by introduction of insulin Actrapid НМ 4 units in the morning, 6 units at dinner time, 4 units before supper, 2 units at о 11.00p.m. After two weeks of treatment, the girl started suffering from hypoglycaemia. A daily dosage of insulin decreased to 8 units. There is retained normoglycemia, glycosuria. What is the mitigated need for insulin associated with?

Principles Of Pharmacology Med Assist

6th Edition

ISBN:9781337512442

Author:RICE

Publisher:RICE

Chapter26: Medications Used In Treatment Of Endocrine Disorders

Section: Chapter Questions

Problem 19RQ

See similar textbooks

Similar questions

A 32-year-old male with type 1 diabetes since the age of 14 years was taken to the emergency department because of drowsiness, fever, cough, diffuse abdominal pain, and vomiting. Fever and cough started 2 days ago and the patient could not eat or drink water. He has been treated with an intensive insulin regimen (insulin glargine 24 IU at bedtime and a rapid-acting insulin analog before each meal). On examination he was tachypneic, his temperature was 39° C (102.2° F), pulse rate 104 beats per minute, respiratory rate 24 breaths per minute, blood pressure 100/70 mmHg; he also had dry mucous membranes, poor skin turgor, and rales in the right lower chest. He was slightly confused. Rapid hematology and biochemical tests showed hematocrit 48%, hemoglobin 14.3 g/dl (143 g/L), white blood cell count 18,000/ μ l, glucose 450 mg/dl (25.0 mmol/L), urea 60 mg/dl (10.2 mmol/L), creatinine 1.4 mg/dl (123.7 μ mol/L), Na+ 152 mEq/L, K+ 5.3 mEq/L, PO4 3−2.3 mEq/L (0.74 mmol/L), and Cl− 110 mmol/L.…
A 32-year-old male with type 1 diabetes since the age of 14 years was taken to the emergency department because of drowsiness, fever, cough, diffuse abdominal pain, and vomiting. Fever and cough started 2 days ago and the patient could not eat or drink water. He has been treated with an intensive insulin regimen (insulin glargine 24 IU at bedtime and a rapid-acting insulin analog before each meal). On examination he was tachypneic, his temperature was 39° C (102.2° F), pulse rate 104 beats per minute, respiratory rate 24 breaths per minute, blood pressure 100/70 mmHg; he also had dry mucous membranes, poor skin turgor, and rales in the right lower chest. He was slightly confused. Rapid hematology and biochemical tests showed hematocrit 48%, hemoglobin 14.3 g/dl (143 g/L), white blood cell count 18,000/ μ l, glucose 450 mg/dl (25.0 mmol/L), urea 60 mg/dl (10.2 mmol/L), creatinine 1.4 mg/dl (123.7 μ mol/L), Na+ 152 mEq/L, K+ 5.3 mEq/L, PO4 3−2.3 mEq/L (0.74 mmol/L), and Cl− 110 mmol/L.…
A 32-year-old male with type 1 diabetes since the age of 14 years was taken to the emergency department because of drowsiness, fever, cough, diffuse abdominal pain, and vomiting. Fever and cough started 2 days ago and the patient could not eat or drink water. He has been treated with an intensive insulin regimen (insulin glargine 24 IU at bedtime and a rapid-acting insulin analog before each meal). On examination he was tachypneic, his temperature was 39° C (102.2° F), pulse rate 104 beats per minute, respiratory rate 24 breaths per minute, blood pressure 100/70 mmHg; he also had dry mucous membranes, poor skin turgor, and rales in the right lower chest. He was slightly confused. Rapid hematology and biochemical tests showed hematocrit 48%, hemoglobin 14.3 g/dl (143 g/L), white blood cell count 18,000/ μ l, glucose 450 mg/dl (25.0 mmol/L), urea 60 mg/dl (10.2 mmol/L), creatinine 1.4 mg/dl (123.7 μ mol/L), Na+ 152 mEq/L, K+ 5.3 mEq/L, PO4 3−2.3 mEq/L (0.74 mmol/L), and Cl− 110 mmol/L.…
Insulin lispro was given to a client at 0700 by a night nurse who needed to leave early. At 0730 the client is clammy and refusingb reakfast, stating "I don't feel well, I need to lie down," What is the nurse's action? 1) Check the blood sugar and convince the client to drink juice if possible. 2) Document the refusal and let the client sleep since. 3) Call the night nurse at home and tell her to come back and deal with the situation. 4) Wait to offer breakfast until the client feels better.
A 56-year old maintenance worker, with a past medical history of insulin dependent diabetes, CHF, and hypertension, presents to the emergency room with lightheadedness, lethargy, and periods of confusion. Patient family members found him unconscious outside. Wife states, “he’s been at it for over a weeknow” Medications: Insulin, Lasix, Digoxin and Vasotec: were:Temperature Pulse Respirations36.7C 118 18On examination, the patient has slurred speech with decreased upper and lower motor strength bilaterally 4/5. While examining the patient, he experienced loss of consciousness that lasted less than half a minute. The nurse, drew labs, administered oxygen via NC, Established IV line access and placed patient on a monitor. Lab resultsVitals on admission Blood Pressure 103/61 Electrolytes – in emergency room Hematocrit –PotassiumSodiumPhosphorus 2.6 mg/dL BicarbonateCalciumCreatinineSerum Osmolarity Glucose38%3.3 mEQ/L147 mEQ/L21 mEq/L 7.6 mg/dL2.4 mg/dL321 mmol/kg 389 mg/dL…
In addition to symptoms of diabetes, all the following are criteria recommended by the American Diabetes Association for use in the diagnosis of Diabetes Mellitus EXCEPT: O Random plasma glucose concentration > 180 mg/dL. O Fasting plasma glucose > 126 mg/dL. O 2-Hour glucose > 200 mg/dL during a 2 hour post prandial glucose test O Hemoglobin A1C > 6.5%
discuss the effects of the health eating policies such as Uk chnage4life campain 1500 words. Discuss and explain why it was intorduced, discuss when was it effective. has it been effeective in tackling type 2 diabetes.
A laboratory result Shows a glucose level 10.1mg/dl ( reference range 3 - 6.2mg/dl) BP of 140/100 mmHg ( Reference 120/80 mmHg) Serum insulin 0.3 ( 0.7-3.5) BMI is 34kg/m sq Other findings seen was porous bone, muscle weakness and stretch marks, high appetite hyperpigmentation of the skin. Moon face, truncal abdomen.etc a. As a Medical laboratory scientist, use the laboratory results ( hint explain each findings) and the other findings to diagnose the disorder. b. What 2 causes of it
Jesse comes to the medical office for pre-lunch check blood glucose of 210 MG/DL. lunch = 59 g, ISF = 1: 60 target of 120 mg/dL I:C =1:30. how much insulin should you administer using carb coverage and correction dose using ISF?
Mr Nguyen is an overweight 40 year old who has recently been diagnosed with type 2 diabetes. He has been started on Metformin but has been complaining of diarrhoea, some abdominal pain and loss of appetite. He continues to work as a taxi driver and often works the night shift as he has young school aged children. His HbA1c is 8%. The medical staff are considering adding Exenatide to his medication regime. Outline the mode of action of Metformin and Exenatide and why these drugs may be prescribed together. Describe factors to be considered when administering each of these drugs.
The recommended dose range of intravenous gentamicin for an adult is 1 to 1.7 mg/kg q8h. Calculate the daily dosage range in mg, for Mr. K weighing 154 lb.
An adolescent is admitted to the intensive care unit with diabetic ketoacidosis. The nurse prepares a continuous insulin infusion of 100 units (U) regular insulin in 500 mL normal saline. How many units of regular insulin is in one mL of the solution?