Hypoglycemia Essay

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Case Study 1

1.) Define hypoglycemia. What are hypoglycemic blood glucose values in an adult?
Hypoglycemia: Low blood glucose level that results from too much insulin, not enough food, or excess activity. It is defined as the presence of Whipple’s triad: manifestations consistent with low blood glucose, a low plasma glucose concentration, and resolution of symptoms or signs after plasma glucose concentration is raised. Four common causes are: 1.) excess insulin, 2.) deficient intake or absorption of food, 3.) exercise, and 4.) alcohol intake.
When blood glucose falls below 70 mg/dl or when the blood glucose level drops rapidly from an elevated level.
2.) Describe the clinical manifestations of hypoglycemia. How low does a …show more content…
Glucagon often causes vomiting so need to watch for aspiration.
6.) Discuss how Mr. Kiley’s bipolar disorder contributed to his hypoglycemia.
Bipolar disorder in people have been found to have insulin resistance (hypoglycemia). It means that the body's cells are not responding properly to insulin, which functions to push glucose across cell membranes, including brain cells. Initially blood sugar levels go up and more insulin is produced until there is a sudden drop in blood sugar. The brain is entirely dependent on glucose as its only source of energy.
7.) Mr. Kiley’s sister told the nurse that the client usually maintains good control of his blood glucose. The client’s HbA1c is 5%. What does an HbA1c value represent, and does the client’s value indicate good control?
An HbA1c test measures the amount of HbA1c in the blood. This test provides an accurate long-term index of the patient’s average blood glucose level. It is used to monitor diabetes treatment. Normal findings in good diabetic control are 9%.
Yes, Mr. Kiley’s value indicates good diabetic control.
8.) Help the nurse identify three priority nursing diagnoses to include in Mr. Kiley’s plan of care. Include at least 2 nursing interventions for each nursing diagnosis.
Risk for unstable blood glucose level r/t mental health status a.) The nurse will administer intravenous 50% dextrose or IM glucagon according to agency protocol if client is hypoglycemic and unable to take oral
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