Malabsorption or maldigestion nursing consideration

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Malabsorption or maldigestionNursing consideration:Instruct the client to fast for 8 to 12 hours before the test.Instruct a client with diabetes mellitus to withhold morning insulin or oral hypoglycemicmedication until after the blood is drawn.Glucose Tolerance Test (GTT)The glucose tolerance test (GTT) aids in the diagnosis of diabetes mellitus. If the glucose levelspeak at higher than normal at 1 and 2 hours after injection or ingestion of glucose and areslower than normal to return to fasting levels, then diabetes mellitus is confirmed.Normal Lab Values for Glucose Tolerance Test (GTT)70 – 110 mg/dL (baseline fasting)110 – 170 mg/dL (30 minute fasting)120 – 170 mg/dL (60 minute fasting)100 – 140 mg/dL (90 minute fasting)70 – 120 mg/dL (120 minute fasting)Abnormal Glucose tolerance test AcromegalyAcute pancreatitisAcute stress responseChronic renal failureCorticosteroid therapyNormal Laboratory Values for Nurses: A Guide for Nurses20 of 388/12/2020, 1:22 PM
Cushing’s syndromeDiabetes mellitusDiuretic therapyGlucagonomaMyxedemaPheochromocytomaPost-gastrectomySomogyi response to hypoglycemiaNursing ConsiderationsInstruct the client to eat a high-carbohydrate (200 to 300 g) diet for 3 days before thetest.Instruct the client to avoid alcohol, coffee, and smoking for 36 hours before the test.Instruct the client to avoid strenuous exercise for 8 hours before and after the test.Instruct the client to fast for 10 to 16 hours before the test.Instruct the client with diabetes mellitus to withhold morning insulin or oralhypoglycemic medication.Instruct the client that the test may take 3 to 5 hours, requires IV or oral administrationof glucose, and the taking of multiple blood samples.Glycosylated Hemoglobin (HbA1c)Glycosylated hemoglobinis blood glucose bound to hemoglobin. Hemoglobin A₁C(glycosylated hemoglobin A; HbA1c) is a reflection of how well blood glucose levels have beencontrolled for the past 3 to 4 months. Hyperglycemia in clients with diabetes is usually a causeof an increase in the HbA1c.Normal and Abnormal Lab Values for Glycosylated Hemoglobin7% or lower (good control of diabetes)7% to 8% (fair control of diabetes)Higher than 8 % (poor control of diabetes)Increased Glycosylated hemoglobin(HbA1c) levelsDecreased Glycosylated hemoglobin(HbA1c) levelsNewly diagnosed diabetic patientNon-diabetic hyperglycemiaPoorly controlled diabetic patientPregnancySplenectomized patientsChronic blood lossChronic renal failureHemolytic anemiaNursing ConsiderationFasting is not required before the test.Diabetes Mellitus Autoantibody PanelUsed to evaluate insulin resistance and to identify type 1 diabetes and clients with a suspectedallergy to insulin.Normal Lab Value for DM Autoantibody Panel: Normal Laboratory Values for Nurses: A Guide for Nurses21 of 388/12/2020, 1:22 PM
Less than 1:4 titer with no antibody detectedIncreased levels:Allergies to insulinFactitious hypoglycemiaInsulin resistance

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