Nursing 5334
Diabetic Case Study
• Complaint “I’ve been urinating a lot.” History Marion is
a 55-year-old overweight White female who presents at
the urgency care clinic with frequency, urgency, and
burning onurinat
...
Nursing 5334
Diabetic Case Study
• Complaint “I’ve been urinating a lot.” History Marion is
a 55-year-old overweight White female who presents at
the urgency care clinic with frequency, urgency, and
burning onurination. She has had urinary tract infections
before, and the symptoms are similar.
The triage nurse orders a urinalysis, and the results are
consistent with a urinary tract infection. However, the urinalysis
also shows protein in the urine and a high glucose level. A
random plasma glucose level is drawn and shows 220 mg/dL.
Her blood pressure is 150/90 mm Hg. Pulse 72. Ht 5 feet 5
inches. Weight 180 lbs. When these values are reported to her,
she states that she is not surprised. Her mother and her auntboth
have type 2 diabetes, and she has used her mother’s glucose
monitor to check herown blood glucose levels in the past. When
they are high, she adjusts her diet. Becausethis is an urgencycare setting, her urinary tract infection is treated; a fasting
chemistry panel, lipid profile, HbA1c, and thyroid function tests
are ordered; and she is referred to her primary care nurse
practitioner for work-up of probable type 2 diabetes. She does
not smoke. Screening for microalbuminuria is postponed until
her urinary tract infection is cured because urinary tract
infections can cause transient elevations in u
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