Assignment 1: A Case Study

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1. lispro (Humalog) is a rapid acting insulin: glargine( Lantus) is a long acting insulin that works evenly for 24 hours.
2. Peak 1-2 hours : Duration 3-4 hours ( Hours from Adult Health Nursing, chapter 11, pg532)
3. One advantage of using glargine(Lantus) is that it provides you with a longer period of insulin over a span of 24 hours,
4. Do not use the same syringe for lispro and glargine. Lantus will interfere with the action time of lispro: to prevent lipohypertrohy it is recommended by the ADA to rotate injection sites, if you frequently use the upper right abdomen try switching to the lower right abdomen: administer insulin at room temperature: Insulins cannot be taken orally,other medications that may be prescribed Pramlintide slows
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It is possible to have a healthy pregnancy and a healthy baby, first you need to make sure your blood glucose is in a recommended healthy target range that you will need to determine with your Doctor. Blood sugar that is not controlled can cause birth defects in a developing fetus. Before becoming pregnant you should also check for kidney problems, cholesterol, eye exams, foot, and blood work to make sure that your liver and kidneys are working.

12. K.W. should be able to summarize everything that was explained to her, but in her own words, she should be able to demonstrate and by having her repeat important information it shows that she has an understanding of what’s being discussed. If K.W. can stay in the healthy ranges for A1C and blood glucose, then the teaching was effective.

13. Nausea, vomiting, and loose stools, could contribute to becoming dehydrated. Always take your insulin.
It is very important even when ill, to check blood sugar, because added stress on the body can lead to excess blood glucose, which would mean that the requirements for insulin would be higher. If you are unable to keep down solid foods try drinking a sugary drink like fruit juice or lemonade, you could also try eating a Popsicle. Be sure to move around, even if you don’t feel well poor circulation can lead to developing skin

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