Type 1 DM
What is the primary deficit?
Auto-immune process
What is the primary deficit?
Insulin resistance
Signs of a wound infection
pain, purulent drainage, redness, swelling
What classification is Vancomycin?
antibiotic
What type of diabetes did Mathias have?
Type 2
What are symptoms of Type 1?
Weight loss, Polydipsia, Polyuri, Polyphagia, Blurred vision, Weakness/ fatigue
What are the environmental causes?
Obesity, lack of exercise
Is a capillary refill of more than 3 seconds normal?
No
What is given to Mathias for pain?
Morphine Sulfate and Acetaminophen
What diet is he on?
Diabetic
What level of insulin deficiency is it?
Absolute Deficiency
What is the prevalence of Type 2 DM?
Accounts for 90%
How would you assess for pain?
PQRSTU, pain scales
Besides treatment of bacterial infections what is the desired effect of Piperacillin/Tazobactam?
Prevention of piperacillin degradation
Where was his pressure ulcer located?
lateral aspect of his right heel, and another on the right anterior great toe, proximal phalanx,
When is the onset of Symptoms?
abrupt, take months to years
How early is diagnosis?
Insidious; may go undiagnosed for years
What are considered adventitious breath sounds?
Crackles, ronchi and wheezes
What is used to treat constipation?
Magnesium Hydroxide Suspension
What stage are is pressure ulcers at?
Stage III
What is the Age of Onset?
Occurs in people who are younger than 30 years, with a peak onset of between 11-13
Paresthesias, Impaired healing
What pulses would you palpate in the lower extremities?
Femoral pulse, popliteal pulse, posterior tibial pulse, dorsalis pedis pulse.
What type of insulin is Lispro?
Rapid-Acting
What is he allergic to?
Iodine