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676664
Georgie Smith 64 year old woman
Description
Mind Map on Georgie Smith 64 year old woman, created by Andrea Tonissen on 26/03/2014.
Mind Map by
Andrea Tonissen
, updated more than 1 year ago
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Created by
Andrea Tonissen
about 10 years ago
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Resource summary
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
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