Evaluating patient for hypoglycemia

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Reference no: EM133806387

Question

You are working in a clinic and evaluating a patient for hypoglycemia. Mary is a 43-year-old African American woman whom you suspect has some type of diabetes mellitus. A nursing history reveals the following: Height-5 feet Weight-95kg Family history of diabetes-mother, two maternal aunts Smoker-1 ½ packs per day for over 25 years Fingerstick blood glucose is 210 mg/dl Complains of increasing fatigue over the past month and mild nocturia

1. What are the risk factors for Mary? Give an interpretation as to how it relates to Diabetes.

2. Does Mary show any symptoms of hypoglycemia? List additional symptoms often seen with hypoglycemia.

3. What additional testing needs to be done for a diagnosis of Diabetes and why?

4. Identify 3 areas of diabetes education that are important for Mary. 3-Months Later..... Mary is admitted to the hospital 3 months later for hypoglycemia. Your assessment reveals the following: Fingerstick blood glucose of 32 Vital signs: BP 110/60, HR 110, RR 28, Temp. 97.4°F Skin is cold and clammy Confusion Lungs clear on auscultation Mild edema of bilateral feet with some redness to the left ankle

5. What is the priority for treatment? Explain in detail including diagnostic testing needed with explanation of why the testing is needed.

Reference no: EM133806387

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