Case Study 1
Agents to Control Blood Glucose Levels
A diabetes registered nurse educator is preparing an in-service presentation for student nurses on agents to control blood glucose levels for diabetes mellitus. The in-service will include a brief review of the pathophysiology of diabetes mellitus. Drugs to be included in the presentation will include insulin, acarbose (generic), glyburide (DiaBeta, Glynase), and metformin (Fortamet, Glumetza, Riomet). (Learning Objectives 2, 3, 4, and 6)
a. What alterations in metabolic pathways and changes to basement membranes occur with diabetes mellitus?
b. What are the key nursing intervention considerations for patients taking insulin?
c. What are the indications for acarbose (generic)?
d. What are the most common adverse effects of glyburide (DiaBeta, Glynase)?
e. What are the therapeutic actions of metformin (Fortamet, Glumetza, Riomet)?
Rubric for case study
• Respond to the questions using textbook and one alternate source.
Provide supportive data/information using both the textbook and at least 1 alternate source to support responses. Information is current and relevant/ specific to the needs of the patient identified in the case scenario.
• Include the diagnostic evaluation assessments appropriate for the individual patient.
Include at least 3 or more diagnostic evaluations and assessments of the patient specific to the patient’s individualized needs. Includes laboratory tests, physical examination and imaging if needed. Includes a detailed explanation of why such diagnostics/ assessments are appropriate.
• Includes modalities of care for the management of the patient including age appropriate.
Includes at least 3 or more modalities of care for the management of the patient including age- appropriate measures when indicated. Provides detailed rationale for such modalities with supportive citations from the text and alternate source.
• APA format (utilizes APA 7 edition appropriately
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