Scribd Logo
Upload

Welcome to Scribd!

  • 61 views

    Case Scenario 10

    Uploaded by

    Mart Juaresa Yambao
    A 36-year-old pregnant woman in her 28th week of gestation presents with a family history of diabetes and signs of gestational diabetes including glycosuria and elevated blood glucose levels. Diet and glyburide therapy for 3 weeks did not control her blood glucose, so her medication was changed to a regimen of NPH and regular insulin. She needs management of her gestational diabetes through medical nutrition therapy, glucose monitoring, and insulin therapy to control her blood glucose and prevent complications for her and her baby.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Case Scenario 10

    Uploaded by

    Mart Juaresa Yambao
    61 views1 page
    A 36-year-old pregnant woman in her 28th week of gestation presents with a family history of diabetes and signs of gestational diabetes including glycosuria and elevated blood glucose levels. Diet and glyburide therapy for 3 weeks did not control her blood glucose, so her medication was changed to a regimen of NPH and regular insulin. She needs management of her gestational diabetes through medical nutrition therapy, glucose monitoring, and insulin therapy to control her blood glucose and prevent complications for her and her baby.

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    A 36-year-old pregnant woman in her 28th week of gestation presents with a family history of diabetes and signs of gestational diabetes including glycosuria and elevated blood glucose levels. Diet and glyburide therapy for 3 weeks did not control her blood glucose, so her medication was changed to a regimen of NPH and regular insulin. She needs management of her gestational diabetes through medical nutrition therapy, glucose monitoring, and insulin therapy to control her blood glucose and prevent complications for her and her baby.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    61 views1 page

    Case Scenario 10

    Uploaded by

    Mart Juaresa Yambao
    A 36-year-old pregnant woman in her 28th week of gestation presents with a family history of diabetes and signs of gestational diabetes including glycosuria and elevated blood glucose levels. Diet and glyburide therapy for 3 weeks did not control her blood glucose, so her medication was changed to a regimen of NPH and regular insulin. She needs management of her gestational diabetes through medical nutrition therapy, glucose monitoring, and insulin therapy to control her blood glucose and prevent complications for her and her baby.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    Bulacan State University

    Malolos, Bulacan
    College of Nursing

    Case Scenario

    Case Scenario 10 Gestational Diabetes Mellitus

    A 36-year-old pregnant woman in her 28th week of gestation was in her second pregnancy and has had one
    live birth and no abortions is seen for prenatal care. Her weight is 220 lbs and her blood pressure is 120/80 mmHg.
    The uterine size is appropriate for gestational age. The patient’s past obstetric history includes C-section with a 9 lb,
    8oz baby girl at 39 weeks of gestation.

    Upon interview, she reported that her mother and father are both with Type II Diabetes Mellitus diagnosed at
    their 30’s and 40’s respectively.

    A urine dipstick shows 3+ glycosuria and negative ketones. The patient's capillary glucose reading, performed
    in the clinic, was 189 mg/dl. She was instructed to return the next morning for a fasting venous plasma glucose,
    which was 151 mg/dl. A 50-g oral glucose tolerance test (OGTT) was administered and revealed a blood glucose level
    of 155 mg/dl 1 hour after (a positive test is a venous plasma glucose value 1 hour later of > 140 mg/dl).

    The patient was initially prescribed Glyburide 2.5 mg tablet OD. She was instructed to monitor her sugar
    levels at home through a glucometer in the morning before taking anything per orem. Also, she was instructed to limit
    intake of sweets and carbohydrates that would include a diet of 25 kcal/kg actual body weight divided into three
    meals and a bedtime snack. The targets for therapy were a fasting value of < 95 mg/dl and values no higher than 140
    mg/dl at 1 hour or no higher than 120 mg/dl at 2 hours after eating.

    Level II 2nd Semester SY 2020-2021


    After 3 weeks of diet and drug therapy, her blood glucose levels remain elevated. Thus, medication was
    shifted to NPH (Neutral Protamine Hagedorn) Insulin 20 units and regular insulin 10 units administered in the
    morning.

    INSTRUCTIONS:

    From the foregoing information, please prepare and submit the following:

    1. one (1) NCP that best accommodates the client’s healthcare needs
    2. drug study from ALL given medications.

    Prepared by:

    RHEALEEN V. VICEDO RN, MAN


    Clinical Instructor

    You might also like