Free Paper Sample Answering the Questions on Type 2 DM Diagnosis and Medication

1. Have you had any other medical issues in the past?

Is your time best spent reading someone else’s essay? Get a 100% original essay FROM A CERTIFIED WRITER!

Order now

These questions will help provide an in depth understanding into the patient's health history as well as her family's health history thus; provide more understanding about his condition.

2. What risk factors are present for this patient?

Some of the risk factors present for this patient include family history, age, obesity, high blood pressure, Low levels of HDL cholesterol as well as inactivity. Inactivity comes into play since he is retired. Besides, it might also be a contributor to his obesity. The patient's personal medical history as follows provides more insight into the risk factors that are present for him.

3. Which information supports a diagnosis of type 2 DM?

The most important information that offers support to the diagnosis of type 2 DM include his complaints about blurred vision as well as his obesity (Burchum & Rosenthal, 2014). People suffering from type 2 DM often experience blurred vision. In addition, these people also weight gain as well as weight loss. In this case, the patient is obese, which sometimes is a symptom of type 2 DM. Moreover, excessive plasma glucose is a diagnostic of diabetes as well as Hemoglobin A1c.

4. Which lab results are of concern for this patient?

The two most concerning results from the lab for this patient include Trig 302 and A1C 7.8%.

5. Discuss the Mechanism of Action for metformin.

When metformin is taken orally, it becomes absorbed in the small intestines (Burchum & Rosenthal, 2014). The rate of absorption is slow. The prescribed amount does not change the rate of absorption in the small intestines. It works through decreasing the production of the glucose by the liver. Additionally, it also increases the uptake of glucose by the muscles.

6. Why the gradual loading of the medication?

The reason for gradual loading of the medication is to ease the patient in the medication prescription and routine. It also allows the body to adjust to these new medications thus, avoiding any complications that may result due to side effects.

7. Which labs are necessary to review prior to beginning Metformin?

The labs necessary to review prior to beginning metformin are blood test and insulin tests.

8. What nonpharmacological therapies would you review with the patient?

The non-pharmacological therapies I would review with the patient include medical nutrition therapy to aid the patient in understanding the diabetic diet that he has to follow. The diet he follows will help in weight loss as well as achieving a healthy lifestyle. Another non-pharmacological therapy pertains to physical activities (Burchum & Rosenthal, 2014). The importance of physical activities is to ensure that the patient does become more active than he normally is since he is retired and is possibly inactive most of the time.

9. Discuss your desired goals for this patient?

The desired goals for this patient are to lose weight, that he strictly follows his meal plan diet and that he becomes more physically active. Weight loss will help the patient in living a healthier lifestyle that is needed for his diagnosed condition. The patient also needs to show signs of improvement.

Reference

Burchum, J., & Rosenthal, L. (2014). Lehne's Pharmacology for Nursing Care-E-Book. Elsevier Health Sciences.