After rounding on your patient after breakfast you note they are lethargic with slurred speech, altered mental status, and appears tremulous. You check a blood sugar resulting at 52.
CVA (stroke) in 2019
Uncontrolled Diabetes Mellitus II
DVT and PE
Heparin | 5,000 units | Subcutaneous every 12 hours
D50W | 12.5 g every 15 minutes PRN for a blood glucose <70Repeat until blood glucose is above 70
Insulin detemir | 20 units | Subcutaneous | B.I.D.
Insulin lispro | Sliding scale | Subcutaneous ACHS (before and after meals)Sliding Scale BG 170-190 = 1 unit
BG 191-200 = 2 units
BG 201-210 = 3 units
BG 211-215 = 4 units
BG 216-220 = 5 units
BG 221-230 = 6 units
BG 231-240 = 7 units
BG 241-250 = 8 units
BG >250 = Call MD
You will need to include the following elements into your case study. Please don’t upload your case study as an attachment, rather directly into the discussion board. List the interactions found by going to the following link https://reference.medscape.com/drug-interactionchecker (Links to an external site.) and checking the medications the patient is prescribed to assess for any interactions
List concerns with the interactions, medications, and treatment plan
List a minimum of (5) recommendations to prevent any adverse events
Respond to (1) colleague speaking to their recommendations, something you weren’t aware of, or any recommendations for your colleague.
Cite all your sources in APA (this includes in-text citations and a reference list). Anytime you are using content that is not your own, a citation is needed
You should utilize your textbook, but can also utilize any additional resources you find
Follow the rubric to guide you, which can be found by clicking on the 3 dots in the right upper quadrant of the screen
Review the case study example as to how to format and speak to each category
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