CT question 1 - Osterhout 1 Med-Surg. 330 Critical thinking...

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Osterhout 1 Med-Surg. 330 Critical thinking question #1 There are many considerations for a patient with diabetes over the age over the age of 70 who is undergoing a major abdominal surgery. Hypoglycemia and hyperglycemia are two major concerns for patients with type 2 diabetes. The patient’s diet, self care issues, hygiene, and stress are some of the other concerns. The morning of surgery insulin is withheld. During surgery the use of IV insulin is used to maintain blood glucose levels. The glucose is also balanced by the used of dextrose infusion. The insulin/dextrose infusion rates are adjusted according to frequent capillary glucose determinations. After the surgery this infusion maybe continued until the patient can eat. Hyperglycemia may occur due to changes in the usual treatment regimen such as increased food, decreased insulin, and decreased activity. Some medications, such as glucocorticoids, will also elevate blood glucose levels. Other factors that may contribute
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This note was uploaded on 04/03/2008 for the course NURS 330 taught by Professor Bigelow during the Spring '08 term at Eastern Michigan University.

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CT question 1 - Osterhout 1 Med-Surg. 330 Critical thinking...

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