His current medications include metformin (Glucophage), insulin human regular (HumuLIN R), warfarin (Coumadin), furosemide (Lasix), carvedilol (Coreg), captopril (Capoten), potassium (KDur), thiamine (Thiamilate), multi-vitamin (One-A-Day), trazadone (Desyrel), moxifloxicin (Avelox), amiodarone (Cardarone), and a nitroglycerin patch (Nitro-Dur). The ECG revealed that the distal two thirds of the left ventricle were akinetic, and his cardiac catheterization revealed that he had an 80% occlusion…
DOI: 2/4/2016. Patient is a 58-year-old male technician who sustained injury when he tripped over cement on a parking post in the garage and fell. Per OMNI, he was initially diagnosed with injury to both shoulders and knees. Based on the latest medical report dated 04/06/16, the patient presents for reevaluation of his left shoulder pain. He still has stiffness and pain, especially at night. On examination of the left shoulder, he remains tender around the shoulder but less significant and…
They may be considered as a second-line of therapy in combination with metformin or a third-line option in combination with metformin and either a sulfonylurea (SU), thiazolidinediones (TZD), or basal insulin. GLP-1s may also be utilized as a first line therapy when metformin, the standard first-line option, is either contraindicated or not tolerated (ADA, 2016; Garber et al.,…
have to use IV diuretics. If that is unsuccessful he will need to be hospitalized at Duke Regional Hospital for IV diuresis and tune-up for cardiac catheterization and possible atrial flutter ablation. 7. Consider using something other than metformin for diabetic control because of the concomitant heart…
CC Mr. Gobbi is a 42-year-old male here today with complaints of left shoulder pain as well as to follow up on his coccyx pain. HPI The patient first complained of coccyx pain back in the spring of 2014. He was being active with his kids and fell right onto his coccyx while using a pillowcase to slide down the stairs. He was given an order for an x-ray at that time. Follow up a couple months later, he reported that his pain was better. He chose not to the x-ray. He tells me he is still…
Gout is a form of inflammatory arthritis and tend to develop in people with high levels of uric acid in their blood. The arthritis affects more than 8 million Americans and is more likely in men than women due to hormones women have in their bodies (Diagnosis Gout). Uric acid is formed when the human body breaks down cells and food that is ingested, it builds up in the joints causing crystals (Diagnosis Gout). The crystals are needle like and cause sudden pain to the body, the infected are…
High blood pressure is treated with medicines such as diuretics or ACE inhibitors. High blood sugar is treated with oral medicines (such as metformin), insulin injections, or both. Low-dose aspirin can help reduce the risk of blood clots, especially for people whose risk of heart disease is high. References Adams M.P. & Koch R.W. (2010). Pharmacology connections to nursing practice. Upper…
Experts recommend at least 30 minutes of aerobic exercise, so joining a sport would highly benefit the child suffering from diabetes. The second thing to manage childhood diabetes is medication. Two that have been shown to help include metformin and sulfonylureas. Metformin works by improving the sensitivity of your body tissues so it uses insulin more effectively, also lowers glucose production in liver. While on the other hand Sulfonylureas work by helping the body secrete its own insulin…
For those suffering with diabetes, to them life is a perpetual battle with insulin. An essential hormone manufactured by the pancreas, insulin plays an important role in absorbing glucose from foods we eat to convert to energy. Failure of the body to use insulin effectively could lead to insulin resistance which is a precursor to prediabetes, diabetes and other serious conditions. As a result, more insulin is built up to stabilize blood sugar from spiraling out of control. The cells stop…
scientist. This was the story of my diabetic father. Having frequent urination he decided to go to the doctors and mentioned this new condition. Being told it was just his increased blood sugar levels, he was sent home with an increased dosage of Metformin. The frequent urination did not get any better. With another trip back to the doctors more in depth laboratory test were performed and it was discovered that he had prostate…