How can Human disease and drug affect humans

Question 1

1. Scenario 1:

   A 27 year old female patient with a long history of diabetes mellitus presents to the office for her annual physical and to go over the results of her blood work with the doctor. During the patient history section of the examination, the patient states that she has been experiencing increased hunger, urination frequency, and heartburn. In addition, she has noticed that when driving, the cars next to her are tougher for her to see. She also states that her neck and shoulders are tight and achy.

   The blood work comes back with the following results:
   
   Fasting Glucose: 108mg/dl

   HgbA1c: 8.0% Chloride: 115 mEq/L

   Potassium: 5.9 mEq/L

   Sodium: 155 mEq/L

   Calcium: 8.9mg/dl

   Magnesium: 1.5 mg/dl

   Phosphorus: 5.1 mg/d
   Based on the information provide above in Scenario 1, answer the following questions. Responses should be no longer than 50 words:

   What information did the patient give during the exam that suggests uncontrolled diabetes? (Give specific information, do not include lab values in your answer to this question.)

2. Question 2
   

   1. Scenario 1:

      A 27 year old female patient with a long history of diabetes mellitus presents to the office for her annual physical and to go over the results of her blood work with the doctor. During the patient history section of the examination, the patient states that she has been experiencing increased hunger, urination frequency, and heartburn. In addition, she has noticed that when driving, the cars next to her are tougher for her to see. She also states that her neck and shoulders are tight and achy.

      The blood work comes back with the following results:
      
      Fasting Glucose: 108mg/dl

      HgbA1c: 8.0%

      Chloride: 115 mEq/L

      Potassium: 5.9 mEq/L

      Sodium: 155 mEq/L

      Calcium: 8.9mg/dl

      Magnesium: 1.5 mg/dl

      Phosphorus: 5.1 mg/d
      
      Based on your answer from Question 1, explain how these symptoms are related to diabetes mellitus.

   2. Question 3
      

      1. Scenario 1:

         A 27 year old female patient with a long history of diabetes mellitus presents to the office for her annual physical and to go over the results of her blood work with the doctor. During the patient history section of the examination, the patient states that she has been experiencing increased hunger, urination frequency, and heartburn. In addition, she has noticed that when driving, the cars next to her are tougher for her to see. She also states that her neck and shoulders are tight and achy.

         The blood work comes back with the following results:
         
         Fasting Glucose: 108mg/dl

         HgbA1c: 8.0%

         Chloride: 115 mEq/L

         Potassium: 5.9 mEq/L

         Sodium: 155 mEq/L

         Calcium: 8.9mg/dl

         Magnesium: 1.5 mg/dl

         Phosphorus: 5.1 mg/d

         List specific values from the blood work that indicate uncontrolled diabetes.

      2. Question 4

         1. A 27 year old female patient with a long history of diabetes mellitus presents to the office for her annual physical and to go over the results of her blood work with the doctor. During the patient history section of the examination, the patient states that she has been experiencing increased hunger, urination frequency, and heartburn. In addition, she has noticed that when driving, the cars next to her are tougher for her to see. She also states that her neck and shoulders are tight and achy.

            The blood work comes back with the following results:
            Fasting Glucose: 108mg/dl

            HgbA1c: 8.0%

            Chloride: 115 mEq/L

            Potassium: 5.9 mEq/L

            Sodium: 155 mEq/L Calcium: 8.9mg/dl

            Magnesium: 1.5 mg/dl

            Phosphorus: 5.1 mg/dBased on your answer from Question 3, briefly explain why these values are associated with the patient’s uncontrolled diabetes.

            Question 5
            

            1. Scenario 1:

               A 27 year old female patient with a long history of diabetes mellitus presents to the office for her annual physical and to go over the results of her blood work with the doctor. During the patient history section of the examination, the patient states that she has been experiencing increased hunger, urination frequency, and heartburn. In addition, she has noticed that when driving, the cars next to her are tougher for her to see. She also states that her neck and shoulders are tight and achy.

               The blood work comes back with the following results:

               Fasting Glucose: 108mg/dl

               HgbA1c: 8.0%

               Chloride: 115 mEq/L

               Potassium: 5.9 mEq/L

               Sodium: 155 mEq/L

               Calcium: 8.9mg/dl
               

               Magnesium: 1.5 mg/dl

               Phosphorus: 5.1 mg/d

               When the doctor goes over the blood results, the patient states she has been complying with the treatment plan for her diabetes. She points out should that her fasting blood glucose number is within the normal range. How would it be explained to the patient why the HgbA1c is a better method for looking at look term glucose levels and why the fasting blood glucose does not provide the full picture?

               Question 6
               

               1. Scenario 2:

                  A 43 year old female patient presents to the office with a surgical history of thyroidectomy and cc of “feeling cold” and fatigue. Examination revealed an overweight female with hyporeflexia, psoriasis, and cool skin. The patient has been taking Synthroid 25mg PO Daily as part of her treatment plan.

                  The following blood work results were obtained:
                  
                  Thyroid Function Tests:
                  T4: 4.5 µg/dl

                  T3: 70 ng/dl

                  TSH: 5.4 IU/L

                  Electrolytes:

                  Chloride: 100mEq/L

                  Potassium: 4.9 mEq/L

                  Sodium: 125 mEq/L

                  Calcium: 11.2 mg/dl

                  Magnesium: 1.5 mg/dl

                  Phosphorus: 2.0 mg/dl
                  
                  Based on the information provide above in Scenario 2, answer the following question:

                  List specific values from the blood work related to the thyroidectomy.

            Question 7
            

            1. Scenario 2:

               A 43 year old female patient presents to the office with a surgical history of thyroidectomy and cc of “feeling cold” and fatigue. Examination revealed an overweight female with hyporeflexia, psoriasis, and cool skin. The patient has been taking Synthroid 25mg PO Daily as part of her treatment plan.

               The following blood work results were obtained:
               
               Thyroid Function Tests:
               T4: 4.5 µg/dl

               T3: 70 ng/dl

               TSH: 5.4 IU/L

               Electrolytes:

               Chloride: 100mEq/L

               Potassium: 4.9 mEq/L

               Sodium: 125 mEq/L

               Calcium: 11.2 mg/dl

               Magnesium: 1.5 mg/dl

               Phosphorus: 2.0 mg/dl
               
               Based on the information provide above in Scenario 2, answer the following question:

               Based on your answer from Question 6, briefly explain how the values from the Thyroid Function Tests are associated with the patient’s history of thyroidectomy

               Question 8
               

               1. Scenario 2:

                  A 43 year old female patient presents to the office with a surgical history of thyroidectomy and cc of “feeling cold” and fatigue. Examination revealed an overweight female with hyporeflexia, psoriasis, and cool skin. The patient has been taking Synthroid 25mg PO Daily as part of her treatment plan.

                  The following blood work results were obtained:
                  
                  Thyroid Function Tests:
                  T4: 4.5 µg/dl

                  T3: 70 ng/dl

                  TSH: 5.4 IU/L

                  Electrolytes:

                  Chloride: 100mEq/L

                  Potassium: 4.9 mEq/L

                  Sodium: 125 mEq/L

                  Calcium: 11.2 mg/dl

                  Magnesium: 1.5 mg/Phosphorus: 2.0 mg/dl
                  Based on the information provide above in Scenario 2, answer the following question:

                  Based on your answer from Question 6, briefly explain how the values from the Electrolyte tests are associated with the patient’s history of thyroidectomy.

                  Question 9
                  

                  1. Scenario 2:

                     A 43 year old female patient presents to the office with a surgical history of thyroidectomy and cc of “feeling cold” and fatigue. Examination revealed an overweight female with hyporeflexia, psoriasis, and cool skin. The patient has been taking Synthroid 25mg PO Daily as part of her treatment plan.

                     The following blood work results were obtained:
                     
                     Thyroid Function Tests:
                     T4: 4.5 µg/dl

                     T3: 70 ng/dl

                     TSH: 5.4 IU/L

                     Electrolytes:

                     Chloride: 100mEq/L

                     Potassium: 4.9 mEq/L

                     Sodium: 125 mEq/L
                     

                  Calcium: 11.2 mg/dl

                  Magnesium: 1.5 mg/dl

                  Phosphorus: 2.0 mg/dl
                  Based on the information provide above in Scenario 2, answer the following question

                  Explain how this patient’s presentation and examination findings are associated with the patient’s history of thyroidectomy. (Use specifics information for Scenario 2 in your answer.)

                  Question 10
                  

                  1. Based on the blood work and the patient’s exam, the doctor decides to increase the level of Synthroid the patient is taking to 75mg daily. The patient still has her 25mg tablets at home. How many tablets should the patient take to meet the new dosage? (Be sure to include units in you answer.

                  Question 11
                  

                  1. A medication order for 2mcg of desmopressin acetate to be injected for a patient with Diabetes Insipidus. The vial available is desmopressin acetate 4 mcg/mL. How much should be injected?

                  Question 12
                  

                  1. A patient with hypoparathyroidism needs to take 1000mg of calcium and 600 units of vitamin D daily to comply with the doctor’s order. She has a bottle of Calcium Carbonate-Vitamin D3 that contains 250mg – 125 unit tablets. How many should the patient take?

                  
                  

            
            
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