Week 5: Endocrine System Case Study : Advanced Pharmacology Fundamentals
Week 5: Endocrine System Case Study
ENDOCRINE
CASE STUDIES
#1 JOHN JONES
#2 ALFONSO GIULIANI
#3 HELEN SMITH
1/45
, Week 5: Endocrine System Case Study : Advanced Pharmacology Fundamentals
Submitted Mar 31 at 6:38pm
This attempt took 399 minutes.
Question 1 pts
I understand the value of doing my own work and learning this skill to
support my future independent practice as a nurse practitioner. I
understand that while there may be opportunities beyond my
faculty’s control to collaborate or share answers with peers, that it
would not benefit my own personal and professional growth to do so.
I agree to do my own work and take personal responsibility for my
learning.
I do not.
Co
orrrec
ct! I do.
Question 2 pts
Use the John Jones case study to answer the following question.
Which glucose level equates with a Hgb A1C of 8.1%?
Co
orrrec
ct! ~183 mg/dl
~175 mg/dl
~204 mg/dl
~160 mg/dl
2/45
, Week 5: Endocrine System Case Study : Advanced Pharmacology Fundamentals
The correct answer is ~183mg/ dl. See page 400, Table 48.4,
Hemoglobin A1c levels and their corresponding eAG levels
for complete information.
Question 3 pts
Use the John Jones case study to answer the following question.
John calls the office and reports that he is scheduled for diagnostic
testing that requires IV contrast for imaging. He inquires if there are
concerns with undergoing this procedure while taking his
medications. What instructions should be given to John regarding his
metformin regimen?
Take the metformin the morning of the procedure but don’t take it for
48 hours afterward.
Co
orrrec
ct!
Don’t take the metformin the day of the procedure and for 48 hours
afterward.
No special instructions are needed.
Don’t take the metformin the day of the procedure but resume the
following day.
3/45
, Week 5: Endocrine System Case Study : Advanced Pharmacology Fundamentals
Metformin must be withheld on the day of the procedure and
for 48 hours afterward. Serum creatinine levels should be
normal before resuming metformin.
Question 4 pts
Use the John Jones case study to answer the following question.
Using the ADA Standards of Medical Care in Diabetes-2020, which
of the following medications should be prescribed for John?
Canagliflozin
Co
orrrec
ct! Metformin
Dulaglutide
Glyburide
According to the ADA Standards of Medical Care in Diabetes-
2020, Metformin is the first-line medication to prescribe for
patients with a HgbA1C >6.5%.
American Diabetes Association. (2020). Figure 9.1 [Graph].
Standards of Medical Care in Diabetes—2020 Abridged for
Primary Care Providers.
https://clinical.diabetesjournals.org/content/38/1/10
4/45
Week 5: Endocrine System Case Study
ENDOCRINE
CASE STUDIES
#1 JOHN JONES
#2 ALFONSO GIULIANI
#3 HELEN SMITH
1/45
, Week 5: Endocrine System Case Study : Advanced Pharmacology Fundamentals
Submitted Mar 31 at 6:38pm
This attempt took 399 minutes.
Question 1 pts
I understand the value of doing my own work and learning this skill to
support my future independent practice as a nurse practitioner. I
understand that while there may be opportunities beyond my
faculty’s control to collaborate or share answers with peers, that it
would not benefit my own personal and professional growth to do so.
I agree to do my own work and take personal responsibility for my
learning.
I do not.
Co
orrrec
ct! I do.
Question 2 pts
Use the John Jones case study to answer the following question.
Which glucose level equates with a Hgb A1C of 8.1%?
Co
orrrec
ct! ~183 mg/dl
~175 mg/dl
~204 mg/dl
~160 mg/dl
2/45
, Week 5: Endocrine System Case Study : Advanced Pharmacology Fundamentals
The correct answer is ~183mg/ dl. See page 400, Table 48.4,
Hemoglobin A1c levels and their corresponding eAG levels
for complete information.
Question 3 pts
Use the John Jones case study to answer the following question.
John calls the office and reports that he is scheduled for diagnostic
testing that requires IV contrast for imaging. He inquires if there are
concerns with undergoing this procedure while taking his
medications. What instructions should be given to John regarding his
metformin regimen?
Take the metformin the morning of the procedure but don’t take it for
48 hours afterward.
Co
orrrec
ct!
Don’t take the metformin the day of the procedure and for 48 hours
afterward.
No special instructions are needed.
Don’t take the metformin the day of the procedure but resume the
following day.
3/45
, Week 5: Endocrine System Case Study : Advanced Pharmacology Fundamentals
Metformin must be withheld on the day of the procedure and
for 48 hours afterward. Serum creatinine levels should be
normal before resuming metformin.
Question 4 pts
Use the John Jones case study to answer the following question.
Using the ADA Standards of Medical Care in Diabetes-2020, which
of the following medications should be prescribed for John?
Canagliflozin
Co
orrrec
ct! Metformin
Dulaglutide
Glyburide
According to the ADA Standards of Medical Care in Diabetes-
2020, Metformin is the first-line medication to prescribe for
patients with a HgbA1C >6.5%.
American Diabetes Association. (2020). Figure 9.1 [Graph].
Standards of Medical Care in Diabetes—2020 Abridged for
Primary Care Providers.
https://clinical.diabetesjournals.org/content/38/1/10
4/45
