Blog

You are putting in admission orders on a patient diagnosed with a COPD exacerbation. The patient also has a history of hypertension and type II diabetes. She normally only take metformin 500mg PO BID for her diabetes. You understand the solu-medrol given for the exacerbation will likely cause hyperglycemia; therefore, you order sliding scale Humulin R to be given before meals.  If this patient received Humulin R insulin at 11am, what time will its effect have peaked? 

Match the insulin type with its associated duration time. 

All of the following are chronic complications of diabetes mellitus, except? 

You are caring for a patient who has been hospitalized for 3 days secondary to new onset congestive heart failure with exacerbation. The patient is also a type II diabetic. On admission the patient’s home insulin regimen was continued: Lantus 20 units subcutaneous HS, lispro (Humalog) 6 units subcutaneous before meals.  You are reviewing the patient’s glucose trend shown below:   Tuesday Wednesday Thursday Before Breakfast 62 58 65 Before Lunch 158 128 165 Before Dinner 201 199 205 Bedtime 198 212 188 What insulin adjustment is most appropriate for this patient? 

Which medication has shown to slow the progression of kidney disease associated with renal artery stenosis? 

Nocturnal hypoglycemia that develops and stimulates surge of regulatory hormones causing increased blood sugar and results in early morning elevation in glucose levels is known as which disorder? 

A 19 year old female presents to the emergency department with complaints from her best friend of “she isn’t acting her normal self”. The patient is lethargic though awakens to voice, tachypneic, diaphoretic, with poor skin turgor. Her best friend reports she hasn’t felt good for two days, but has progressively worsened. The patient denies any medical problems, smoking, or drug use. She reports she is not currently sexually active.  She complains of extreme thirst and fatigue.  Labs: WBC 20K, H&H 17.5 & 45, Plt 450K. Na+ 129, K+ 5.6, anion gap 25, Cr 1.8, BUN 40, Ca+ 8.5, glucose 448.  Vitals: Temp 97.8F, Pulse 122, BP 104/54, RR 34, O2 96% on room air.  Which diagnostic test is the most appropriate to order next? 

A 19 year old type I diabetic female has been in the intensive care unit for 2 days secondary to diabetic ketoacidosis (DKA). The insulin drip is infusing at 2units/hr. Suddenly the nurse notifies the AGACNP intensivist that the patient appears to be having a seizure. The seizure resolves after IV administration of a benzodiazepine. The nurse obtains a point of care glucose which results as 32.  What is the most appropriate treatment? 

When emailing your professor, you are required to put the course name and the section in your email subject. This helps your professor to answer your queries easier since they teach multiple courses each semester.

Cultural geography, also known as human geography, analyzes the complex and dynamic relationship between peoples and the environments they inhabit using a local, national, and global scale.