Learning Goal: I’m working on a nursing discussion question and need an explanation and answer to help me learn.
Multidisciplinary team meetings, conferences, or rounds are mechanisms through which care providers from different specialties (physicians, nursing, case management, social work, quality, pharmacy, and other ancillary services) meet to communicate, coordinate patient care, make joint decisions, and manage responsibilities. These can occur either during bedside rounds or in a team meeting.
This week we are covering diabetes management and exploring chronic diseases associated with the kidney.
Jerry Thomas is a 26-year-old type 1 diabetic. He was originally diagnosed at the age of 14 and currently manages his disease with an intensive regimen of insulin injections. Jerry is employed as a schoolteacher and soccer coach. He presents today with a two-day history of vomiting and diarrhea. He has been closely monitoring his blood glucose and is using regular insulin for high blood glucose levels. He has only been able to tolerate liquids such as Gatorade, but today he is unable to even tolerate that and comes to the clinic for evaluation of possible diabetic ketoacidosis (DKA).
Discuss the following:
Arief Aslan, a male, 67-year-old patient, is three days postoperative after a coronary artery bypass graft operation. The patient has a history of hypertension, type 1 diabetes, coronary artery disease, and end-stage kidney disease, which is treated with hemodialysis three times per week. The patient has a left atriovenous (AV) shunt. The patient is taking the following medications:
Discuss the following:
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