Rationale development exercise Essay Example | Topics and Well Written Essays - 1000 words

Rationale development exercise - Essay ExampleAccording to Lehne et al. (2011, p. 580), if there is small or not enough insulin to ease the glucose through the cell membranes of the cell, patients with T2DM will still be at risk for DKA. The finding of the DKA laboratory is that a high BGL in excess of 14 mmol/L is an indication of insulin deficit. Her BGL ranged from 18-23 mmol/L. Continuous mobilization of fatty acids and hyperglycemia occur as a result of deficiency of insulin. physical exercise of the fatty acids allows the development and buildup of ketones that can cause acidosis.It is therefore, incorrect to assume that Mrs. Langerhans diagnoses on discharge will include T1DM because she will now be classified advertisement as insulin dependent. Although she is categorized as insulin dependent, she will not be diagnosed as T1DM because the features and cataloguing of both T2DM and T1DM are different. When classifying T2DM, we use relative insulin deficiency and for the cas e of T1DM we use out-and-out(a) insulin deficiency (LeMone et al. 2011, p. 578). In Mrs. Langerhans case, the insulin nominated in her body is not enough therefore there is likelihood for hyperglycemia to develop. The development will be due to deprivation of control of her T2DM, earlier non-compliance with diabetic history, hypoglycemic medication procedure, and also the usage of IV solution comprising dextrose on admittance. However, since her body can still produce insulin, though in small portions she cannot be diagnosed with T1DM.The RN administers Mr. Nexium IV metoclopramide that is the first anti-emetic given according to near post-operative nausea and vomiting procedures. IV metoclopramide is given to most post-operative patients in to reduce group AB swelling postoperatively, to reduce strain on the wound and assist respiration. It also helps to expand the stomach, during surgery particularly the upper abdominal surgery when a bloated stomach obstructs the operation.T he justification she