Zusammenfassung der Ressource
Georgie Smith
64 year old
woman
- Type 2 Diabetes
- BGL: 18.5-25.6 mmol/L
- How well is this being controlled?
- Does diet need to be altered?
- Why is this high?
- Poor diet
- Uses Insulin
- 52 units of Lantus/day, short acting
- Is this sufficient?
- Is there an alternative?
- Sliding scale insulin
- Is a medication review necessary?
- Can this be used at home?
- Level of Education
- Does Georgie know what her BGL level should be?
- Alternative treatments?
- Exercise
- Is this appropriate for someone short of breath
- Alter diet
- Does Georgie need a
nutritional review?
- Social Welfare
- Lives with husband
- Full time builder
- Not willing to assist with treatment
- 4 children, all live overseas
- What other networks does Georgie have?
- Cataract in left eye
- To be removed in 3 months
- Is this detrimental to Georgie's ADL's?
- Is this a consequence of consistently high BGL's?
- Chronic Heart Failure
- Frusemide 40mg BD
- Loop diuretic that inhibits sodium and chloride reabsorption
- Used in Acute pulmonary oedema, oedema and
hypertension
- BP 140/80
- Lisinopril 20mg BD
- Atenolol 50mg daily
- Respiratory Rate= 26
- Pulse 100bpm
- Digoxin 250mcg daily
- Reduces heart rate
- Amiodarone 300mg
- Use cautiously in people with heart failure
- Prevention and treatment of serious atrial & ventricular arrythmias
- Oxygen Saturation 96% on room air
- Short of breath on exertion
- Height 170cms, 110 kgs
- BMI= 38=obese
- How can this be addressed?
- Weight loss
- Diet
- Exercise
- Rheumatoid Arthritis
- Ibuprofen 400mgs TDS
- Adverse reactions
- Peripheral Oedema
- Frusemide helps avoid this
- Fluid retention
- Frusemide helps avoid this
- Acute Renal Failure
- Aspirin 100mg daily