Louca is a 69-year-old man who has had Type 2 diabetes for 1
Louca is a 69-year-old man who has had Type 2 diabetes for 15… Louca is a 69-year-old man who has had Type 2 diabetes for 15 years. He also has hypertension. He is a retired librarian who lives with his wife and dog. He has been overweight most of his life and is currently classified as obese with a BMI of 38. His father was a Type 2 diabetic and died from a stroke at the age of 70. To manage his diabetes, Louca’s GP has referred him to a Diabetes Education Centre to help manage his condition and to receive guidance from the multidisciplinary team. His GP has prescribed the following medications to help manage his diabetes and hypertension: 500mg Metformin BD120mg SR Gliclazide mane50mg Metoprolol BDLouca has been encouraged to take his BGLs twice daily, but he often forgets. He has found it difficult to manage his diabetes as he works long hours, often resulting in him eating lots of ‘fast food’. A month or so ago he noticed a wound on the base of his right foot.Today he has decided that he would go to his local Diabetes Education Centre to inform them about his wound. Upon getting ready he started experiencing abdominal pain, nausea and diarrhoea. He has decided to postpone going to the Diabetes Education Centre until he feels better. Despite feeling unwell, Louca still took his medications as prescribed (above). Louca remained in bed for the rest of the morning. By 1700hrs Louca’s wife became concerned as he had not eaten or drunk anything all day, he had been vomiting and he was becoming increasingly drowsy. His wife decided to call an ambulance.1730 hours: Louca has arrived in the Emergency Department. The paramedics explain that he is confused, drowsy and has slurred speech, that he wakes with stimulus, is pale, cold and clammy. The most recent vital signs obtained by the paramedics are as follows: HR 118bpm, BP 104/58, RR 24, SpO2 100%, Temp 36.5, and his BGL was 3.2mmol/L 5 minutes ago. His wife is present, and she is very distressed. Health Science Science Nursing CNN CNA242
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