Case in point: Margarita managing steroid-induced diabetes على ذلك: مارغريتا تتعامل مع مرض السكري الناجم عن الستيرويد Margarita is a 59-year-old Hispanic nurse who has been admitted to the hospital for a left total knee replacement. She is 5 feet 6 inches and weighs 210 pounds. She has been NPO (nothing by mouth) all night and arrives to the hospital at 7 in the morning to be prepared for surgery. Once the operation is over, the healing process begins, and the physician notices that the incision is not healing as fast as expected. Margarita tells her nurse that since the surgery, she has noticed bilateral temporal pain. Her hemoglobin drops dramatically, and she has been newly diagnosed with giant cell arteritis. The cure is large doses of prednisone. Large doses of prednisone cause steroid-induced diabetes. The doctor prescribed a 1,200-calorie diabetic diet. Margarita is overwhelmed with all that has happened. ASSESSMENT 1. Calculate Margarita's ideal weight using Table 3-3. (calculate for yourself) 2. What does the dietitian need to know about Margarita's meal choices? 3. What does the dietitian need to know about Margarita's way of life? 4.What sources of carbohydrates would be most helpful in weight loss and maintenance of blood sugar levels? DIAGNOSIS 5. Write a nursing diagnosis for Margarita.
Case in point: Margarita managing steroid-induced diabetes على ذلك: مارغريتا تتعامل مع مرض السكري الناجم عن الستيرويد Margarita is a 59-year-old Hispanic nurse who has been admitted to the hospital for a left total knee replacement. She is 5 feet 6 inches and weighs 210 pounds. She has been NPO (nothing by mouth) all night and arrives to the hospital at 7 in the morning to be prepared for surgery. Once the operation is over, the healing process begins, and the physician notices that the incision is not healing as fast as expected. Margarita tells her nurse that since the surgery, she has noticed bilateral temporal pain. Her hemoglobin drops dramatically, and she has been newly diagnosed with giant cell arteritis. The cure is large doses of prednisone. Large doses of prednisone cause steroid-induced diabetes. The doctor prescribed a 1,200-calorie diabetic diet. Margarita is overwhelmed with all that has happened. ASSESSMENT 1. Calculate Margarita's ideal weight using Table 3-3. (calculate for yourself) 2. What does the dietitian need to know about Margarita's meal choices? 3. What does the dietitian need to know about Margarita's way of life? 4.What sources of carbohydrates would be most helpful in weight loss and maintenance of blood sugar levels? DIAGNOSIS 5. Write a nursing diagnosis for Margarita.
Chapter21: Carbohydrate- Controlled Diets For Diabetes Mellitus
Section: Chapter Questions
Problem 2CA
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Transcribed Image Text:Case in point: Margarita managing steroid-induced diabetes
على ذلك: مارغريتا تتعامل مع مرض السكري الناجم عن الستيرويد
Margarita is a 59-year-old Hispanic nurse who has been admitted to the hospital for a
left total knee replacement. She is 5 feet 6 inches and weighs 210 pounds. She has
been NPO (nothing by mouth) all night and arrives to the hospital at 7 in the morning
to be prepared for surgery. Once the operation is over, the healing process begins,
and the physician notices that the incision is not healing as fast as expected.
Margarita tells her nurse that since the surgery, she has noticed bilateral temporal
pain. Her hemoglobin drops dramatically, and she has been newly diagnosed with
giant cell arteritis. The cure is large doses of prednisone. Large doses of prednisone
cause steroid-induced diabetes. The doctor prescribed a 1,200-calorie diabetic
diet. Margarita is overwhelmed with all that has happened.
ASSESSMENT
1. Calculate Margarita's ideal weight using Table 3-3. (calculate for yourself)
2. What does the dietitian need to know about Margarita's meal choices?
3. What does the dietitian need to know about Margarita's way of life?
4. What sources of carbohydrates would be most helpful in weight loss and
maintenance of blood sugar levels?
I DIAGNOSIS 5. Write a nursing diagnosis for Margarita.
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