Mrs. Langerhan has a BGL that ranges from 18-23 mmol/l and this put her at the possibility of developing HHNS and DKA. HHNS is a life-threatening disease and from the statistics above about Mrs. Langerhan,…
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According to Lehne et al. (2011, p. 580), if there is little or not enough insulin to ease the glucose through the cell membranes of the cell, patients with T2DM will still be at risk for DKA. The finding of the DKA laboratory is that a higher BGL in excess of 14 mmol/L is an indication of insulin deficit. Her BGL ranged from 18-23 mmol/L. Continuous mobilization of fatty acids and hyperglycemia occur as a result of deficiency of insulin. Utilization of the fatty acids allows the development and buildup of ketones that can cause acidosis.
It is therefore, incorrect to assume that Mrs. Langerhan’s diagnoses on discharge will include T1DM because she will now be classified as insulin dependent. Although she is categorized as insulin dependent, she will not be diagnosed as T1DM because the features and cataloguing of both T2DM and T1DM are different. When classifying T2DM, we use relative insulin deficiency and for the case of T1DM we use absolute insulin deficiency (LeMone et al. 2011, p. 578). In Mrs. Langerhans case, the insulin produced in her body is not enough; therefore there is likelihood for hyperglycemia to develop. The development will be due to lack of control of her T2DM, earlier non-compliance with diabetic history, hypoglycemic medication procedure, and also the usage of IV solution comprising dextrose on admittance. However, since her body can still produce insulin, though in small portions she cannot be diagnosed with T1DM.
The RN administers Mr. Nexium IV metoclopramide that is the first anti-emetic given according to most post-operative nausea and vomiting procedures. IV metoclopramide is given to most post-operative patients in to reduce abdominal swelling postoperatively, to reduce strain on the wound and assist respiration. It also helps to expand the stomach, during surgery particularly the upper abdominal surgery when a bloated stomach obstructs the operation.
The justification she
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Among these interventions is biofeedback, relaxation, imagery, self-talk, and goal-setting. This study focuses on the use of biofeedback to improve one’s performance in sports and exercises. Due to the importance of sports and exercises in the modern society, it has become necessary that athletes and other sportsmen and women embark on numerous interventions such as goal-setting, imagery and biofeedback, which aim at improving their performance, health and well-being (Rosen, 2008).
There are different educational methods and techniques that can be used to be able to achieve learning. The objective of the paper is to discuss one of these techniques based on personal perspective as an educator. To be able to achieve the said objective, an analysis of the educational technique through education philosophy will be undertaken.
It enables learners to use knowledge of various relations between people and their surroundings to make inquiries on political, social-cultural and environmental issues and ideas (Kelly and Stokes, 2000). It also helps them to make clarification of their personal attributes, acknowledge other people’s views and values.
This defines the chain of communication and the flow of information within the organization. Departments in the plant Production department-this department will be headed by a production manager and supervisor. There will be eight workers in the department handling the actual production work.
evolution is distinct in the sense that it has divided the country into Regions and Communities and created six different bodies; three regions and three communities.
The rationale on which the devolution process has been based reflects the distinctive cultural and political
r completed high school, but later in life I realized that obtaining my General Education Diploma would allow me to obtain full-time work so I would be able to financially provide for my son and myself. Over the years, I went from job to job, realizing I needed something more
e the change process; (4) communicate – 7; (5) institutionalize change – 7; (6) develop structures for change – 6; (7) create a vision and (8) establish urgency, separate from the past and analyze the impact – 4 each. From among the models, elements that are left out or
Next section contains information about peculiarities of methodology and evaluates the key-features of chosen method. I critically discuss why my choice falls down to CLT methodology and I determine the benefits of this exact way of learning language.
In this world impacted by technological advances and internet revolution, I know what is going to help my career plans. I can upgrade my skills by taking up online classes while being employed. When an expanding organization needs
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