{"id":19328,"date":"2020-12-07T07:25:19","date_gmt":"2020-12-07T07:25:19","guid":{"rendered":"http:\/\/onlineclassesguru.com\/?p=19328"},"modified":"2020-12-07T07:25:19","modified_gmt":"2020-12-07T07:25:19","slug":"compare-and-contrast-the-onset-peak-and-duration-of-long-and-short-acting-insulin-scenario-overview-carl-rogers-is-a-67-year-old-african-american-male-with-a-20-year-history-of-type-ii-diabetes-me","status":"publish","type":"post","link":"https:\/\/onlineclassesguru.com\/index.php\/2020\/12\/07\/compare-and-contrast-the-onset-peak-and-duration-of-long-and-short-acting-insulin-scenario-overview-carl-rogers-is-a-67-year-old-african-american-male-with-a-20-year-history-of-type-ii-diabetes-me\/","title":{"rendered":"Compare and contrast the onset, peak, and duration of long and short acting insulin. SCENARIO OVERVIEW: Carl Rogers is a 67-year-old African American male with a 20-year history of type II diabetes mellitus."},"content":{"rendered":"<style type=\"text\/css\"><\/style><h4>Compare and contrast the onset, peak, and duration of long and short acting insulin.<br \/>\nSCENARIO OVERVIEW: Carl Rogers is a 67-year-old African American male with a 20-year history of type II diabetes mellitus.<\/h4>\n<p>SCENARIO OVERVIEW: Carl Rogers is a 67-year-old African American male with a 20-year history of type II diabetes mellitus. On Tuesday at 1530, he was directly admitted from his physician\u2019s office to the medical unit with a stage II nonhealing ulcer on his right heel. The nursing admission paperwork has been completed, and pain medication has been administered. Additional orders for a dressing change and insulin administration have been written but not yet implemented. The scenario takes place on Tuesday at 1700.<\/p>\n<p>Use information from the above scenario to answer questions. Make sure the answers are relevant to the patient in the scenario.<\/p>\n<p>Compare and contrast the onset, peak, and duration of long and short acting insulin.<br \/>\nWhat dietary teaching points can the nurse discuss with this patient (Carl Rogers) with Type II Diabetes Mellitus?<br \/>\nDescribe best practices when providing wound care for diabetic foot ulcers.<\/p>\n<p>SCENARIO OVERVIEW: Cynthia Bennet is a 34-year-old African American female with a history of type 1 diabetes mellitus, end-stage renal disease, and hemodialysis. Early on Monday morning, she was admitted to the emergency department for a fever of unknown origin. She was subsequently admitted to the medical-surgical unit for further evaluation and treatment of a urinary tract infection (UTI). The scenario takes place on Monday at 1300 after Cynthia has returned from hemodialysis. The dialysis nurse has just started the first dose of IV ampicillin.<\/p>\n<p>Use information from the above scenario to answer questions. Make sure the answers are relevant to the patient in the scenario.<\/p>\n<p>List three signs and symptoms from each of the following body systems that occur during an anaphylactic reaction: Respiratory, Cardiovascular, Gastrointestinal, and Dermatological.<br \/>\nWhat is the nurse\u2019s role in providing family-centered care during and after a crisis?<br \/>\nExplain the collaborative role of the nurse, and priority nursing interventions when caring for a patient (Cynthia Bennet) undergoing hemodialysis.<br \/>\nSCENARIO OVERVIEW:<\/p>\n<p>The patient is 61-year-old male with a history of hypertension and hyperlipidemia. His home medications include<\/p>\n<p>enalapril, atorvastatin and baby aspirin daily. He weighs 100kg and smokes one pack of cigarettes per day. He is<\/p>\n<p>allergic to penicillin. The patient presented to the Emergency Department (ED) three days ago with complaints of<\/p>\n<p>abdominal pain and yellow skin and had an emergency open cholecystectomy for obstructive jaundice. He was<\/p>\n<p>admitted to the Medical-Surgical Unit postoperatively. On the second postoperative day, his IV was converted to<\/p>\n<p>a saline lock and clear liquid diet ordered. On the third morning, he has nausea, vomiting, absent bowel sounds,<\/p>\n<p>urine output 250mL\/12 hour shift, and low grade fever. He has not had a bowel movement. His surgical wound<\/p>\n<p>is positive for methicillin resistant staphylococcus aureus (MRSA), which is now being treated with vancomycin.<\/p>\n<p>He is in contact isolation.<\/p>\n<p>Use information from the above scenario to answer questions. Make sure the answers are relevant to the patient in the scenario.<\/p>\n<p>Describe the pathophysiological changes that occur in acute renal failure.<br \/>\nDifferentiate between the causes, signs and symptoms, and diagnostic findings in pre-renal, intra-renal, and post-renal failure.<br \/>\nWhat fluid and electrolyte disturbances commonly occur in acute renal failure?<br \/>\nWhat are the causes and signs and symptoms that correlate with each electrolyte disturbance?<br \/>\nDescribe the medical and nursing management of a patient with acute renal failure. Include discussion of fluid administration, treatment of common electrolyte imbalances,<br \/>\nand dialysis.<\/p>\n<p>Discuss the use of sodium polystyrene sulfonate enemas in the treatment of hyperkalemia. Describe the appropriate procedure.<br \/>\nDescribe complications that can occur as a result of dialysis and identify nursing measures that are designed to prevent these complications.<br \/>\nDevelop a teaching plan for the patient who has been diagnosed with acute renal failure.<br \/>\nDescribe methicillin resistant Staphylococcus aureus (MRSA) and its implications for patients who are diagnosed with this.<br \/>\nDiscuss how patients can be protected from in-hospital acquired MRSA.<\/p>\n<p><center><a href=\"http:\/\/onlineclassesguru.com\/orders\/ordernow\"><img decoding=\"async\" src=\"https:\/\/encrypted-tbn0.gstatic.com\/images?q=tbn:ANd9GcTyj99p60XCLyLk1htB7-1neRt8-2QdnenNlQ&usqp=CAU\"target=\"_http:\/\/onlineclassesguru.com\/orders\/ordernow\"\/><\/center><p>","protected":false},"excerpt":{"rendered":"<p>Compare and contrast the onset, peak, and duration of long and short acting insulin. SCENARIO OVERVIEW: Carl Rogers is a 67-year-old African American male with a 20-year history of type II diabetes mellitus. SCENARIO OVERVIEW: Carl Rogers is a 67-year-old African American male with a 20-year history of type II diabetes mellitus. On Tuesday at&#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-19328","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v17.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Compare and contrast the onset, peak, and duration of long and short acting insulin. 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