Free Samples
401209 : Diabetic Patient
.cms-body-content table{width:100%!important;} #subhidecontent{ position: relative;
overflow-x: auto;
width: 100%;}
401209 : Diabetic Patient
0 Download6 Pages / 1,317 Words
Course Code: 401209
University: Western Sydney University
MyAssignmentHelp.com is not sponsored or endorsed by this college or university
Country: Australia
Question:
1. Explain the 11 components of a valid routine subcutaneous insulin medication order and why this is important. Support your answer with academic or clinical guideline references.
2. Explain why Ben has been prescribed this medication. Relate to pathophysiology of type 1 diabetes and the mechanism of action of NovoRapid insulin. Support your answer with academic references.
3. What is the onset, peak and duration of action for NovoRapid insulin according to Bullock and Manias (2017)? Explain when NovoRapid should be administered in relation to food intake and why. Support your answer with academic references. (5 marks)
4. Discuss the definition, causes, symptoms and treatment of hypoglycaemia, a common adverse effect of NovoRapid. Support your answer with academic references.
5. Discuss the importance of understanding the medication prior to administration. Support your answer with academic references.
6. Discuss the 5 rights of medication administration and why it is important for nurses to follow this procedure. Support your answer with academic references.
7. What is the most appropriate insulin pen needle length for Ben and why? Support your answer with academic references.
8. What diabetes specific nursing assessment would you conduct prior to administration of NovoRapid insulin to Ben and why? Support your answer with academic references. (5 marks)
9. Identify the site and angle you would inject the NovoRapid insulin and explain why this was selected for Ben. Discuss infection control considerations. Support your answer with academic references. (5 marks)
10. What would you document and where? Why is documentation important? Support your answer with academic or clinical guideline references.
11. Explain the diabetes specific nursing assessment you would provide for Ben post administration of insulin, when you would provide it and why. Support your answer with academic references.
Part B
1. Discuss the daily physical challenges of living with type 1 diabetes that Ben may face. Support your answer with academic references.
2. Discuss potential emotional impacts of living with type 1 diabetes that Ben may face. Support your answer with academic references.
Answer:
Part A
1. 11 components of a valid insulin medication order
Patients uniform resource name, his or her family and given names, date of birth, address, and sex
National inpatient medication chart (NIMC) is marked
First prescriber identity level checked
Details of the hospitals
Physician to notify
Signature and printed name of the medicine prescriber
Date
Dose
Name of the insulin (example: Novo rapid)
Meal or time
Physician’s initials (Berman et al., 2014).
2. Diabetes type 1 happens when the body’s immune system of a patient starts destroying the cells of the pancreas known as beta cells. These cells are insulin-producing cells; this insulin hormone is used as a fuel by cells to move sugar, glucose into tissues of the body. Damages to these cells impaired the process and the tissues do not get the above mentioned essential elements (LeMone et al., 2017). Using insulin can lower the blood glucose level by providing glucose or sugar uptake into the body cells; it prevents the gluconeogenesis and glycogenolysis in the liver, and initiates glycogenesis. It also triggers the stimulations of amino acid uptake into the body cells via protein synthesis and promotes storage of fat (Bullock & Manias, 2017).
3. The onset of actions of insulin Novo rapid is 0-0.25 Hours that means it starts showing effects after 15 minutes of injecting. The peak effect of this medicine is 1 hours and duration of action of is 3.5 to 5 hours. The Aspart insulin should be administered shortly before or shortly after having a meal to control the glucose that increases after eating food. Insulin should be injected no more than 5 to 10 minutes before having food (Bullock & Manias, 2017).
4. Hypoglycemia is the health condition which is caused due to very fewer levels of blood glucose level. It often causes during the treatment of diabetes. There are other conditions that can also cause this health issues like fever. Symptoms of this health conduction include hunger, irritability, pale skin, fatigue, mild tachycardia, pallor, sweating, tremors, and restlessness. In severe cases seizures, coma and death might be caused. Hypoglycemia can be caused by an imbalance between the carbohydrates or glucose, insulin, and activity. The treatment of this insulin abnormality includes immediate glucose replacement, quick acting carbohydrates by consuming fruit juice, sugar or honey, and jellybeans. The slow acting carbohydrates can be used from a sandwich or the piece of fruit (Craft et al., 2015). The side effects of NovoRapid insulin are the pain, hypos, and redness, itching and swelling at the site of injection, bruising, and hive. According to a report published in NPS medicineswise (2018), the worse adverse effects of this medication include disorientation, convulsions or fits, seizures, and loss of consciousness.
5. Understanding the medication before administering to the patient is very important. For example, to reduce the medication errors that can occur after medication or at the time of medication. For example, checking the name of the medicine and its level is necessary to ensure that the right medicine is being provided to the patient. By understating the medication the nurse can be sure that medicine will be used for the person is completely safe. Asking the patient for any allergies related to that medication is also the part of understanding the medication completely. And it helps the nurse to prevent any allergies or adverse reaction after administration if the medication (Keers, Williams, Cooke & Ashcroft, 2013).
6. Following are the 5 rights of medication
Right medicine or drug
Right doses
Right patient
Right route of administration
Right time
These five rights of medication are very important to prevent occurrence if any medication errors and to ensure that right medicine is used for the right patient with right doses at right time and via the right route of administration (Nazarko, 2015).
7. Right needle length: the right length of needle for Ben should be 4mm to 6mm length because of the thin subcutaneous skin layer as he is a skinny person. This length will ensure that the medication is delivered to SC tissues and not IM (Australian Diabetes Educators Association, 2015).
8. Diabetes-specific nursing assessment
Asking the patient for any allergies related to the medicine or its content
Checking the medicine name so that right medicine is administered to the patient
Checking the expiry date of the medicine as it can cause other health issues to the patient.
Performing blood glucose level tests and checking ketone level so that the results can be compared after insulin administration (Childers & Levesque, 2013)
9. Appropriate site: the lower abdominal site is the best site in Ben’s case to inject the medicine. To ensure the patient’s comfort and effective delivery to subcutaneous tissues and for better absorption of the medicine.
Appropriate angle: 90 degree is the best angle for Ben to make sure the SC delivery of insulin (Bronger, 2014).
Infection control considerations
During the administration of insulin and testing blood, glucose levels blood Bourne viruses like HBV, hepatitis B, and HIV can infect the person. Therefore the administration should be done carefully. The contaminated devices should not be used to test or administrating insulin. Using insulin pen and blood glucose meter that is already used for another person can also cause infection (Centers for Diabetes Control and prevention, 2017)
10. Documentation required in Ben’s case should be reported on EMAR. The information should be noted during medication should include the name of the patient, type of insulin provided, the strength of doses, concentration of the medicine, length of needle that is used to inject the drug, angle at the medicine is injected and any adverse reaction that occurs after medication. This can help to prevent medication errors and to provide better care to the patient (Tauschmann, & Hovorka, 2014).
11. Diabetes-specific nurses’ assessment should be done for ben after insulin administration includes testing ketone and blood glucose levels, any allergies or adverse effects after injecting the Aspart insulin (National Health Services, 2017).
Part B
1. Physical challenges Ben might face are fatigue, gastroparesis or delayed emptying meal form the stomach, nausea, bloating. Heartburn and kidney damage in severe cases. Foot and leg ulcers often caused in case of a diabetic patient due to the reduction in blood flow to that specific part of the body (Freeborn, Dyches, Roper & Mandleco, 2013).
2 . The patient used to play football regularly and feeling tired due to diabetic symptoms, he may not be able to play the game like before, this feeling of detachment from the game can affect the patient emotionally. Behavioural changes often occur in patient with this health condition. Other emotional or mental issues that might be caused in Ben’s case are feeling alone, stress and anxiety, the problem in remembering the medication (Schabert, Browne, Mosely & Speight, 2013).
Reference:
Australian Diabetes Educators Association (2015). Clinical Guiding Principles for Subcutaneous injection Technique. Retrieved from: https://www.adea.com.au/wp-content/uploads/2015/11/Injection-Technique-Final-digital-version2.pdf
Berman, A., Snyder, S. J., Kozier, B., Erb, G. L., Levett-Jones, T., Dwyer, T., & Parker, B. (2014). Kozier & Erb’s Fundamentals of Nursing Australian Edition. (3rd ed.). Melbourne, Australia: Pearson Higher Education AU.
Bronger, C. (2014). Specialty practice series: Insulin pen needles and adherence. AJP: The Australian Journal of Pharmacy, 95(1128), 68.
Bullock, S., & Manias, E. (2017). Fundamental of pharmacology (8th ed.). Frenchs Forest, NSW: Pearson Australia, p. 752.
Centers for Diabetes Control and prevention (2017). Infection prevention during blood glucose monitoring and insulin administration. Retrieved from: https://www.cdc.gov/injectionsafety/blood-glucose-monitoring.html
Childers, B., & Levesque, C. M. (2013). Use of insulin in the noncritically ill-hospitalized patients with hyperglycemia and diabetes. Critical Care Nursing Clinics, 25(1), 55-70.
Craft, J., Gordon, C., Tiziani, A., Heuther, S., McCane, K., Brasher, V., & Rote, N. (2015). Understanding pathophysiology. (2nd ed.). Chatswood, NSW: Elsevier Australia, p. 1049.
LeMone, P., Burke, K., Levett-Jones, T., Dwyer, T., Moxham, L., Reid-Searl, K., & Raymond, D. (2015). Medical-surgical Nursing: Critical Thinking for Person-centred Care. (3rd ed.). Frenchs Forest, NSW: Pearson Australia. Chapter 19.
Marieb, E. N., & Hoehn, K. (2016). Human Anatomy and Physiology (10th ed.). Essex, UK: Pearson, p.643.
Free Membership to World’s Largest Sample Bank
To View this & another 50000+ free samples. Please put
your valid email id.
Yes, alert me for offers and important updates
Submit
Download Sample Now
Earn back the money you have spent on the downloaded sample by uploading a unique assignment/study material/research material you have. After we assess the authenticity of the uploaded content, you will get 100% money back in your wallet within 7 days.
UploadUnique Document
DocumentUnder Evaluation
Get Moneyinto Your Wallet
Total 6 pages
PAY 4 USD TO DOWNLOAD
*The content must not be available online or in our existing Database to qualify as
unique.
Cite This Work
To export a reference to this article please select a referencing stye below:
APA
MLA
Harvard
OSCOLA
Vancouver
My Assignment Help. (2021). Diabetic Patient. Retrieved from https://myassignmenthelp.com/free-samples/401209-diabetic-patient/immune-system-of-a-patient.html.
“Diabetic Patient.” My Assignment Help, 2021, https://myassignmenthelp.com/free-samples/401209-diabetic-patient/immune-system-of-a-patient.html.
My Assignment Help (2021) Diabetic Patient [Online]. Available from: https://myassignmenthelp.com/free-samples/401209-diabetic-patient/immune-system-of-a-patient.html[Accessed 18 December 2021].
My Assignment Help. ‘Diabetic Patient’ (My Assignment Help, 2021)
My Assignment Help. Diabetic Patient [Internet]. My Assignment Help. 2021 [cited 18 December 2021]. Available from: https://myassignmenthelp.com/free-samples/401209-diabetic-patient/immune-system-of-a-patient.html.
×
.close{position: absolute;right: 5px;z-index: 999;opacity: 1;color: #ff8b00;}
×
Thank you for your interest
The respective sample has been mail to your register email id
×
CONGRATS!
$20 Credited
successfully in your wallet.
* $5 to be used on order value more than $50. Valid for
only 1
month.
Account created successfully!
We have sent login details on your registered email.
User:
Password:
With time, MyAssignmenthelp.com has become one of the best college essay writing services. Our all rounded services give students the confidence to overcome assignment related issues. Our services are fast enough to meet most urgent deadlines. We are capable of delivering fast essay writing services with the help of our specially designed provisions and writers’ teams. Our urgent essay help services guarantee most rapid delivery of assignment solutions. Some of our most popular essay services are application essay help, exploratory essay help, literary review essay help and argumentative essay help.
Latest Healthcare Samples
div#loaddata .card img {max-width: 100%;
}
5N1794 Safety And Health At Work
Download :
0 | Pages :
13
Course Code: 5N1794
University: University College Cork
MyAssignmentHelp.com is not sponsored or endorsed by this college or university
Country: Ireland
Answer:
Assignment 1
Answer to question 1
I have conducted a survey at my workplace maned Lady’s Hospice and Care Services to observe the working environment. The aim of the survey is to find if it is a safe, healthy, secured and fulfilling place to work. A visual survey was conducted to locate and record the safety signs in the workplace. The objective of the survey is to observe and list different types of signs, location, their prom…
Read
More
Tags:
Australia Maple Ridge Management Introduction to film studies University of New South Wales Masters in Business Administration
400837 Health And Socio Political Issues In Aged Care
Download :
0 | Pages :
14
Course Code: 400837
University: Western Sydney University
MyAssignmentHelp.com is not sponsored or endorsed by this college or university
Country: Australia
Answers:
Introduction
Palliative care services are designed to improve the life of patient with progressive disease. People receiving palliative care have illness that has no prospect of cure. As per the World Health Organisation, palliative care is a care given to patient suffering from life threatening illness to improve their quality of life by preventing and providing relief from sufferings by early recognition , assessment and trea…
Read
More
Tags:
Australia Minchinbury Management University of New South Wales
PUBH6304 Global Health
Download :
0 | Pages :
8
Course Code: PUBH6304
University: The University Of Newcastle
MyAssignmentHelp.com is not sponsored or endorsed by this college or university
Country: Australia
Answers:
Human Immunodeficiency Virus Infection and Acquired Immune Deficiency Syndrome (HIV/AIDS) is the spectrum of medical conditions caused due to human immunodeficiency virus (HIV) following which the patient suffers from a series medical complications due to suppression of the immune system of the body. With the progression of the disease, the patient is likely to suffer from a wide range of infections like tuberculosis and other opportu…
Read
More
Tags:
United States Newark Management University of New York Masters in Business Administration
CON 321 Health Related Research
Download :
0 | Pages :
3
Course Code: CON321
University: University Of Southern Maine
MyAssignmentHelp.com is not sponsored or endorsed by this college or university
Country: United States
Answer:
Introduction
Leadership in the hospital is the ability to influence the staff toward providing quality health care. Leadership involves influencing human behavior to create a positive working environment (Langlois, 2012). Good leadership enables healthy relationships among staffs in the hospital enhancing quality delivery of health care services. Leadership is responsible to building teams that have trust, respect, support and effecti…
Read
More
BL9412 Public Health
Download :
0 | Pages :
35
Course Code: BL9412
University: University Of The West Of England
MyAssignmentHelp.com is not sponsored or endorsed by this college or university
Country: United Kingdom
Answer:
Introduction
According to the researchers, it can be said that the management of the health care organizations has become a difficult task nowadays and the reason behind this is the occurrence of various issues in this sector (Hall et al., 2014). Therefore, the administrative employees of the organization should incorporate various revolutionized strategies for enriching the worth of care provided by the hospital to its clients and re…
Read
More
Tags:
Australia Ryde Management Information system strategy University of New South Wales (UNSW) Masters in Business Administration
Next
