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NR 601 Case study assignment .

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Week 5 Case Study 1 Week 5 Case Study Lucretia D Professor Schroetter NR 601 August 11, 2018 Introduction The purpose of this paper is to examine the subjective and objective information using the national diabet ...

Week 5 Case Study 1 Week 5 Case Study Lucretia D Professor Schroetter NR 601 August 11, 2018 Introduction The purpose of this paper is to examine the subjective and objective information using the national diabetes guidelines to diagnose and formulate a management plan for a case study patient. Week 5 Case Study 2 Assessment Primary Diagnosis: Type 2 Diabetes Mellitus (ICD- 10 E11). I chose DM type 2 as my primary diagnosis based on the American Diabetes Association’s Guidelines (ADA). DM2 is a decline in insulin secretion because of impaired B-cell function (ADA, 2018) a diagnosis of diabetes can be made contingent on s criterion of the fasting glucose, the 2-h plasma glucose value in a glucose tolerance test or an A1C criteria (ADA, 2018). My patient’s fasting blood glucose of 126 (H) and her Hgb A1C of 6.9 (H), confirmed the diagnosis because they are two definitive values that are over the threshold (ADA, 2018). My reason for selecting DM2 also included the patient’s signs and symptoms, risk factors such as her age (56), ethnic background (Hispanic) and she previously delivered a nine-pound two-ounce baby which is indicative of gestational diabetes. Diabetes signs and symptoms include fatigue, frequent urination, blurred vision, feeling hungry, pain and tinging in hands and feet as well wounds and cuts that heal slowly (ADA, 2018). Those living a sedentary lifestyle, older age, obesity women previously diagnosed with gestational diabetes, Hispanics and blacks and those with high cholesterol and hypertension are all at a higher risk for type 2 diabetes (ADA, 2018). Mrs. R has been experiencing fatigue, weight gain, hung and thirst and frequent urination, she is overweight with a BMI of 29.7 which places her in the overweight category. Many individuals with non-insulin dependent diabetes are overweight and extra weight effects insulin resistance (ADA,2018). This patients abnormal lab values are as follows a blood glucose of 126(H), Hgb A1C 6.9 (H), LDL 144 (H), HDL 38 (L), Triglycerides 232(H) , and a Week 5 Case Study 3 small amount of protein in her urine with 1+ glucose , warrants further investigation into her health need

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