Long Beach City College Pharmacology Questions

Scenario:

After rounding on your patient after breakfast you note they are lethargic with slurred speech, altered mental status, and appears tremulous. You check a blood sugar resulting at 52. 

PMH

Atrial fibrillation 

CVA (stroke) in 2019 

Uncontrolled Diabetes Mellitus II 

DVT and PE 

Current Medications

Heparin | 5,000 units | Subcutaneous every 12 hours 

D50W | 12.5 g every 15 minutes PRN for a blood glucose <70

• Repeat until blood glucose is above 70 
• Insulin detemir | 20 units | Subcutaneous | B.I.D.
• Insulin lispro | Sliding scale | Subcutaneous ACHS (before and after meals)
• Sliding Scale 

BG 170-190 = 1 unit

BG 191-200 = 2 units

BG 201-210 = 3 units

BG 211-215 = 4 units

BG 216-220 = 5 units

BG 221-230 = 6 units

• BG 231-240 = 7 units
• BG 241-250 = 8 units

BG >250 = Call MD 

Directions

• You will need to include the following elements into your case study. Please don’t upload your case study as an attachment, rather directly into the discussion board.  
• List the interactions found by going to the following link https://reference.medscape.com/drug-interactionchecker (Links to an external site.) and checking the medications the patient is prescribed to assess for any interactions
• List concerns with the interactions, medications, and treatment plan

List a minimum of (5) recommendations to prevent any adverse events

• Respond to (1) colleague speaking to their recommendations, something you weren’t aware of, or any recommendations for your colleague.