Long Beach City College Pharmacology Questions

Description

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.

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