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Problem
Case Study: Mrs. Karnes is a 44 y.o. African American female. She is admitted to the medical unit from her provider's office. She reports losing 18 pounds over the last month and has been very tired. She also reports s/s of thirst, polyuria, and blurred vision. V/S: T 99.2 F, HR 88, RR 16, B/P 166/92. Physical assessment reveals hot, dry, flushed skin. Labs: Glucose 490 mg/dL and urine negative for ketones. Mrs. Karnes teaches elementary school and leads a sedentary lifestyle. History reveals she is usually 30 to 35 pounds overweight but has otherwise been in good health. She reports her mother died from diabetes and renal failure. An older sister was diagnosed with DM II three years ago.
Task
A. List the physical s/s that are suggestive of DM.
B. Based on history and labs, would you expect a diagnosis of Type I or II DM?
C. Mrs. Karnes is treated with IV fluids and Sliding Scale insulin along with Lantus. Describe what sliding scale is and when is it used?
D. A 2000 calorie ADA diet is ordered for Mrs. Karnes. She does not want the orange that came on her breakfast tray but.
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