Online Case Studies Learning Activity #1: Diabetes Management
Online Case Studies Learning Activity #1: Diabetes Management
Assignment Outline
This assignment will give you the opportunity to apply your knowledge related to respiratory illness and related medications. You will be asked to complete preparation work prior to reviewing the case study and complete the ensuing knowledge application questions. To complete this activity, please download this worksheet and complete the fillable spaces. Please submit your completed document to Dropbox by midnight Friday January 27th. You will be evaluated based on your responses on the worksheet. This assignment is worth 5% of your overall theory mark.
Case Study Preparatory Work- Mini Drug Cards (3 marks)
| Metformin (Glucophage) | Classification: Anti-diabetics |
| Indication: treat high blood sugar caused type 2 diabetes | |
| Assessment required: confusion, tachycardia, HPT, nausea, vominting, Hypoglycemia. | |
| Contraindication: chronic heart failure, metabolic acidoci, severe renal disease, septicemia, myocardial infarction | |
| Insulin Aspart
(NovoRapid insulin) |
Classification: fast-acting insulin |
| Indication: Improve blood sugar control in people with diabetes mellitus | |
| Assessment required: redness, swelling and itching, skin thickening or depression, constipation | |
| Contraindication: hypersensitivity, hypoglycemia | |
| Insulin glargine
(Lantus Insulin) |
Classification: long acting insulin |
| Indication: used to treat type 1 diabetes | |
| Assessment required: test blood sugar levels | |
| Contraindication: hypersensitivity to insulin |
Case Information
Lorenzo is a 55-year-old male patient who is seeing his family physician today. The patient’s wife, who is a nurse, believes Lorenzo has type 2 diabetes. At a health care clinic, the physician questions the patient about his symptoms. The patient reports that his wife commented on how much water he was drinking and that he had to urinate frequently. He has had an 8-lb (3.6 kg) weight loss as well. Lorenzo’s wife performed finger stick blood glucose levels on him, and the results were 9 mmol/L and 10 mmol/L on separate days. Today his blood sugar is 9.8 mmol/L. The physician prescribes metformin (Glucophage).
Learning Resources
Please review the following resources to assist you in completing the assignment:
- Sealock, K., Seneviratne, C. (2020). Lilley’s pharmacology for Canadian health care practice (4th edition). Elsevier. Chapter 33.
- Canadian Diabetes Association. (2020). Clinical Practice Guidelines Quick Reference Guide. CPG Quick Reference Guide.
- Insulin Pen Use:
- o Sobhy, T., Wylie, E. [UHN Patient Education]. (2017, November 13). A guide to using your insulin pen. [Video] Streaming service. https://www.youtube.com/watch?v=g8DffwTyn0k
You are encouraged to procure any additional resources that you find useful for completing the worksheet.
Assignment Questions (21 marks)
- Lorenzo asks for information about how metformin works and how long he will need to take it for. As the nurse