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Case study: A 75-year-old female is admitted to a long-term care facility after a mitral valve replacement complicated by a DVT post-op. She has a past medical history of atrial fibrillation and insulin-dependent diabetes mellitus. Skin assessment reveals a 3 cm wound on the right heel. She is alert and oriented and rates her pain at 6/10, and she weighs 138 pounds. She is admitted for rehab and wound care following her hospitalization. Orders are as follows: Heparin 4,000 units SC BID Humulin R insulin 10 units and Humulin insulin N 38 units subcut 30 minutes after breakfast Humulin R insulin sliding scale before lunch and dinner Glucose Insulin Less than 150 mg/dL, no insulin 150-200 mg/dL, 2 units 201-250 mg/dL, 3 units 251-300 mg/dL, 5 units Greater than 300 mg/dL, give 6 units and call provider stat Heparin is available in vials labeled: 100 units/mL 1,000 units/mL 5,000 units/mL 10,000 units/mL Which vial will you choose to draw up the ordered dose of 4,000 units? - 5000 unit vial - 100 unit vial - 1000 unit vial 

          Case study:
A 75-year-old female is admitted to a long-term care facility after a mitral valve replacement complicated by a DVT post-op. She has a past medical history of atrial fibrillation and insulin-dependent diabetes mellitus. Skin assessment reveals a 3 cm wound on the right heel. She is alert and oriented and rates her pain at 6/10, and she weighs 138 pounds. She is admitted for rehab and wound care following her hospitalization.

Orders are as follows:
Heparin 4,000 units SC BID
Humulin R insulin 10 units and Humulin insulin N 38 units subcut 30 minutes after breakfast
Humulin R insulin sliding scale before lunch and dinner Glucose Insulin
Less than 150 mg/dL, no insulin
150-200 mg/dL, 2 units
201-250 mg/dL, 3 units
251-300 mg/dL, 5 units
Greater than 300 mg/dL, give 6 units and call provider stat

Heparin is available in vials labeled:
100 units/mL
1,000 units/mL
5,000 units/mL
10,000 units/mL

Which vial will you choose to draw up the ordered dose of 4,000 units?
- 5000 unit vial
- 100 unit vial
- 1000 unit vial
Show more…
case study a 75 year old female is admitted to a long term care facility after a mitral valve replacement complicated by a dvt post op she has a past medical history of atrial fibrillation a 36515

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Case study: A 75-year-old female is admitted to a long-term care facility after a mitral valve replacement complicated by a DVT post-op. She has a past medical history of atrial fibrillation and insulin-dependent diabetes mellitus. Skin assessment reveals a 3 cm wound on the right heel. She is alert and oriented and rates her pain at 6/10, and she weighs 138 pounds. She is admitted for rehab and wound care following her hospitalization. Orders are as follows: Heparin 4,000 units SC BID Humulin R insulin 10 units and Humulin insulin N 38 units subcut 30 minutes after breakfast Humulin R insulin sliding scale before lunch and dinner Glucose Insulin Less than 150 mg/dL, no insulin 150-200 mg/dL, 2 units 201-250 mg/dL, 3 units 251-300 mg/dL, 5 units Greater than 300 mg/dL, give 6 units and call provider stat Heparin is available in vials labeled: 100 units/mL 1,000 units/mL 5,000 units/mL 10,000 units/mL Which vial will you choose to draw up the ordered dose of 4,000 units? - 5000 unit vial - 100 unit vial - 1000 unit vial
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Transcript

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00:01 Hello students in this session it is talking about a 21 year old female who is having vomit and nausea and previously she had type 1 diabetes because of nausea and vomiting she cannot eat food and did not take her insulin.
00:26 She was admitted to clinical care and it was found there is high glucose level.
00:37 The question is asking what is the pathophysiology of this patient...
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