Mr. L is a 58-year-old man who is recovering in the orthopedic unit of the hospital from a right total knee replacement of two days ago. Mr. L has type 1 diabetes and was diagnosed with the condition at 12 years of age. He has been managing his illness with blood glucose checks 4 times a day: before meals and once at bedtime. He currently takes Humulin-R on a sliding scale based on his glucose results. He weighs 315 lbs. and has developed osteoarthritis in both knees, requiring surgical replacement of the knee joint on the right side.
The nurse caring for Mr.L. enters his room at 8:15 AM for a morning assessment. She finds Mr. L lying in his bed awake, but his mental status is altered and there is a fruity odor to his breath. His vital signs are: HR 100bpm, RR 32/minute, BP 116/78 mm Hg. The nurse notes that his last blood glucose level was 156 mg/dl the previous night before bed and he received 2 units of insulin at that time, but he has not received his morning glucose check or any insulin yet today. A rapid bedside glucose check reveals a blood glucose level of 468 mg/dl. The nurse contacts the physician and upon further examination, Mr. L is diagnosed with diabetic ketoacidosis.
Describe how diabetic ketoacidosis could develop in a patient who has undergone surgery.
Mr. L has an elevated respiratory rate that is classified as Kussmaul respirations. Explain this type of respiratory pattern.
Mr. L complains of feeling very thirsty and that he can’t see very well because his vision is suddenly blurry. The nurse notes he has a large amount of clear urine in his catheter bag. She takes a sample of urine and it tests positive for ketone bodies.
How does the body release ketone bodies into the urine when DKA occurs.
Explain why Mr. L would have increased urinary output, blurred vision, and increased thirst.
The physician has given orders to administer 0.9% Sodium Chloride IV at 500 mL/hour for 1 hour, then 200mL/hour for the next 4 hours. The nurse is to start a drip of Regular insulin at 0>1mg/kg/hour. The physician has also added orders for lab work, including a metabolic profile and arterial blood gases. The metabolic panel results are: Na 135 mEq/L, K 3.2mEq/l, CL 95mmol/L, Ca 8.5mg/dl. The arterial blood gases results are as follows: ph 7.31, pCO2 20 mmHg, pO2 95 mmHg, HCO3 12 mmol/L
What is the rationale for the IV fluids to be given at this rate?
Explain why the patient’s potassium result is at the current level?
Based on the metabolic profile results, what is the next step that the nurse would most likely need to perform?
Explain why DKA would most likely produce these types of blood gas results.
An hour after the insulin was started, the nurse checks Mr. L.’s blood glucose levels and notes it has decreased to 208 mg/dl. He appears more comfortable and his vital signs are: HR 92 bpm, RR 22/ minute, BP 116/70mm Hg, O2 saturation 95% on 2L of oxygen.
What should the nurse do next?

Although BMI does not directly measure body fat, it is somewhat linked with other, more precise measurements of body fat. Furthermore, these more precise measurements of body fatness appear to be just as closely linked with various metabolic and illness outcomes as BMI is.

The link between BMI and body fat can be influenced by elements like age, sex, ethnicity, and muscle mass. Additionally, the BMI does not distinguish between extra fat, muscle, or bone mass, nor does it show how fat is distributed among people.

Therefore, there are significant differences in body mass index (BMI) values between racial and ethnic groups, as well as within racial groups due to lifestyle and environmental factors.

Learn more about BMI here:

https://brainly.com/question/21101651

#SPJ1

Peer influence and role models are two aspects of your surroundings that might have an impact on your wellness.

The main causes of death for both men and women in the United States are still heart disease and stroke. NIH-funded researchers are currently relying on precision medicine to better understand and treat these conditions.

A person's genetic make-up, lifestyle choices (like smoking), exposure to harmful substances (like asbestos), and other factors can all contribute to health issues. When dealing with several health issues, one disease or its treatment may trigger another.

To know more about wellness visit:

https://brainly.com/question/30166496

#SPJ4

It's critical to keep in mind that every physique is unique. Each of us has unique genetic and cultural characteristics. We wouldn't all look alike by the end of the calendar year, even if we all started to eat the same foods and exercising the same amount.

Many experts contend that using a pyramid or other similar image to represent sound dietary advice is neither the best nor the most effective approach. It also makes a lot more sense to break categories down into those we should eat more of, eat in moderation, or attempt to avoid.

Obtain more. Based on the "more to less" idea pioneered in Sweden in the 1970s, Nutrition Australia first presented the Healthy Eating Gradient in 1980. It was created as a basic conceptual model that individuals may use to learn about healthy nutrition.

To know more about healthy diet visit:

https://brainly.com/question/25365932

#SPJ4

Walking, sports, dancing, yoga, jogging, and other activities that you like are all examples of healthy mobility. Consume a well-balanced, low-fat diet rich in fruits, vegetables, and whole grains.

A healthy lifestyle keeps you fit, active, and less prone to disease. According to the World Health Organization, healthy living is a style of life that allows you to enjoy more elements of your life. It is a style of life that reduces the chances of being seriously ill or dying prematurely. Health is more than merely avoiding sickness or illness.

A healthy lifestyle offers several advantages not just for the body but also for the mind. A healthy lifestyle can also lower your chances of developing cancer, heart disease, diabetes, obesity, and osteoporosis. To summarise, there are several advantages to leading a healthy lifestyle.

To learn more about importance of healthy lifestyle, here

https://brainly.com/question/1188359

#SPJ4

Answer:

4747374 u 83838334444444774747

Explanation:

757575757575757577575757577575755757757575757577575757575757577575755757555755575755555555555555555

Answer:

ummm avoiding drugs and alcohol? i think.

Explanation:

Answer:

The answer is avoiding drugs and alchohol.

Explanation:

I took the test and got it right :)

Answer : if you have some apps such as discord you can talk later on call and do some reveal face later on. or stay to yourself and talk online so you can be like that in public. dont act like the trends just do what you want and be kind to one another

Explanation:

True, Research indicates that if an individual has issues controlling anger when they are young, then that person is more likely to have the same issue when they are older.

Studies have shown that individuals who struggle with anger management during childhood and adolescence are at a higher risk of continuing to struggle with anger management into adulthood. This is thought to be due in part to the fact that anger management skills are often learned and developed during childhood and adolescence, and if these skills are not adequately developed during this time, it can be more difficult for an individual to learn and implement them later in life. Additionally, certain factors such as genetics and environmental influences can also play a role in the development and persistence of anger management issues across the lifespan.

To know more about  anger management   click below:

https://brainly.com/question/4418916#

#SPJ4

Answer:

Karma yoga encompasses spiritual path,Kriya yoga includes mudras,bhakti yoga leads to the path of devotion and kundalini yoga deals with the mind.

Explanation:

Answer:

Upper body - 1. Push-ups

2. Sit-ups

3. Dragon walk

4. Shoulder taps

Abdominal - 1. Plank

2. Mountain climber

3. Reverse crunch

4. Dead bug

Lower body - 1. Squats

2. Lunges

3. Calf raises

4. Jumping jacks.

Cardio - 1. Jogging in place

2. Bicycles

3. High knees

4. Jump rope

Explanation:

Recreational activities provide many physical, mental and spiritual benefits. Physically, participating in recreational activities enhances physical health by increasing our strength, flexibility and endurance.

It also helps us to maintain a healthy weight, lower the risk of chronic diseases and reduce stress. Mentally, recreational activities can increase our cognitive abilities, help us to better manage stress, and develop better problem solving skills. It can also help to improve mood, lower anxiety, reduce depression and improve self-esteem.

Spiritually, recreational activities can help us to develop a greater sense of purpose, encourage us to live in the present moment, and give us the opportunity to express our creativity, connection and spirituality. All of these benefits are important in helping us to live a healthy and balanced life.

To learn more about Recreational activities visit:

https://brainly.com/question/6154

#SPJ4

Answer:

b. lungs and heart

Explanation:

Answer:

lungs and the heart

Explanation:

Pulmonary circulation moves blood between the heart and the lungs. It transports deoxygenated blood to the lungs to absorb oxygen and release carbon dioxide. The oxygenated blood then flows back to the heart. Systemic circulation moves blood between the heart and the rest of the body. It sends oxygenated blood out to cells and returns deoxygenated blood to the heart.

Answer: Being physically active can improve your brain health, help manage weight reduce the risk of disease strengthen bones and muscles and improve your ability to do everyday activities

Explanation:

Because there is a risk of damaging a nerve or breaking the joint's bones when a dislocated joint is straightened before being splinted in the presence of healthy circulatory, the EMS providers should refrain from doing so.

What does it mean to be dislocated?

When the bone of a joints are forced out of alignment, it results in a condition known as dislocation. A joint may be totally dislocated or only partially displaced (subluxation). A trauma (such as a vehicle accident or accident) or the deterioration of tendons and muscles can result in a dislocation.

A dislocated joint may self-heal why?

The ends of the bones may occasionally realign themselves on their own. Not, your child's medical professional will have to manually realign the bones so that the joint may heal. Cast or splint. The dislocated part is kept in place during this procedure while it heals.

To know more about dislocated visit:

https://brainly.com/question/3787309

#SPJ4

Answer:

make a zo om for people or read a book, draw, play a sport something xD

have a good day :)

Explanation:

Answer:

B. macrophages and neutrophils

Explanation:

The ability to deal with it and manage emotions is referred to as emotional health.  The capacity to think clearly or make sound judgements is defined as mental health.

Emotional health also includes the ability to form positive relationships. Mental also includes the capacity to deal with stress and control emotions. Mental and emotional health are distinct, they are inextricably linked. People's emotions might run wild if they do not receive mental health therapy. Concentrating solely on emotional wellness generates mental confusion, making it difficult to perform regularly. Both mental and emotional therapies play important roles in assisting patients throughout rehabilitation.

Depression, anxiety, stress, and sorrow may all be treated with therapies and tactics such cognitive behavioral therapy, relaxation, mindfulness, and 'talk' therapy. If you notice that you are not operating normally and that something is bothering you, right now is the time to find out more about what's going on and maybe get treatment.

To know more about the Emotional health, here

https://brainly.com/question/18216607

#SPJ4

Answer: Ergonomics

Explanation:

Your blood cholesterol should be reduced. reduce the incidence of certain malignancies as well as type 2 diabetes. your blood pressure will drop. lessen the chance of getting osteoporosis and help to have stronger muscles, bones, and joints.

Physical activity may strengthen your bones and muscles, help you maintain a healthy weight, increase your ability to carry out daily tasks, and improve your cognitive health. Adults who spend less time sitting and engage in any level of moderate-to-vigorous exercise reap some health advantages.

If you increase your activity level to between 7,500 and 10,000 steps, you would be considered moderately active.

learn more about osteoporosis refer

https://brainly.com/question/24582902

#SPJ4

Answer:

Artist

Counseller

Diversity officer

Business owner

Answer:

Protein, dairy, wheat and a fruit

According to research by Tamayose et al., the most frequently expressed reasons for choosing a career in public health were enjoyment of the field and helping others.

Protecting and enhancing the health of individuals and communities is the study of public health. In order to accomplish this task, healthy lifestyles are encouraged, research is done on how to prevent illnesses and injuries, and infectious diseases are found, stopped, and dealt with.

Infectious disease management, protection against environmental health risks, chemical incidents, and emergency response are all examples of how public health works to reduce the causes of illness and improve people's health and wellbeing. Health protection also includes actions for clean air, water, and food.

For more information on public health kindly visit to

https://brainly.com/question/29843746

#SPJ4

Answer:

Filtration involves the transfer of soluble components, such as water and waste, from the blood into the glomerulus.

Reabsorption involves the absorption of molecules, ions, and water that are necessary for the body to maintain homeostasis from the glomerular filtrate back into the blood.

Secretion involves the transfer of hydrogen ions, creatinine, drugs, and urea from the blood into the collecting duct, and is primarily made of water.

Blood and glucose are not normally found in urine.

Key Terms

urine: A liquid excrement consisting of water, salts, and urea, which is made in the kidneys then released through the urethra.

glomerulus: A small, intertwined group of capillaries within nephrons of the kidney that filter the blood to make urine.

hope it helps

Answer:

b

Explanation:

Answer: Melatonin gummies help you sleep if your being for real lol

Answer:D

Explanation: THATS THE BASIC ROLE

The 40-year Tuskegee syphilis study led to passage of the National Research Act of 1974. It is called most notorious biomedical study in U.S. history and leading to Belmont Report (1979), establishing OHRP (Human Research Protections), federal laws and regulations.

The National Research Act was enacted by the 93rd Congress of the United States and signed into law by President Richard Nixon on July 12, 1974. The National Research Act of 1974 established the National Commission for the Protection of Biomedical and Behavioral Research Subjects. Definitions of guidelines, ethical principles and rules were the result of deliberations of national committees.

Three fundamental principles universally recognized in our cultural tradition are particularly relevant to the ethics of research involving humans principles of individual respect, beneficence and justice.

To learn more about National Research Act visit:

https://brainly.com/question/29871025

#SPJ4