Ticket -In for ATI – Real Life PN/DM
You will be required to turn in this completed “Ticket In” the day before your Simulation
in order to participate in the simulation.
Objectives:
After completion of the lesson, the student will be able to:
Use clinical reasoning to promote a positive outcome for a client who has diabetes
mellitus.
Recognize symptoms of hyperglycemia and hypoglycemia.
Describe important considerations for client and family diabetic teaching.
Teach a client how to monitor blood glucose, select appropriate sites, and self-administer
insulin.
Intervene with a client struggling with adherence to diet and lifestyle changes.
Using the Fundamentals of Nursing textbook, identify each of the terms below: give a definition
and explain the implications for nursing. You may use other resources if needed. Provide APA
referencing for all sources.
Hemoglobin A1c- 6.5% or higher is considered diabetic. HbAc1 is a blood test that
measures the average blood glucose over 2-3 months. This test can diagnosis between
diabetes, prediabetes, and monitor treatment. Fasting is not required
Metabolic panel – This blood test is a basic metabolic panel that can measure abnormal
blood sugar levels
This study source was downloaded by 100000840166818 from CourseHero.com on 12-23-2022 09:53:34 GMT -06:00
https://www.coursehero.com/file/98361576/JessicaCanez-ATI-Ticket-in-DMdocx/
, Fingerstick blood glucose- This is a daily blood test that monitors blood sugar levels.
This is usually done with blood glucose monitoring machine. Alcohol may interfere with
test results.
Medications: Type out your med on-classification, action, dosage and route, side effects, adverse
effects, toxicity, pharmacokinetics, interactions, and nursing considerations. (No Copy to Paste
is accepted if you cite be sure to acknowledge in APA format). Also include: a brief explanation
as if you were educating the patient regarding the medication.
Metformin
Classification: Antidiabetic, Biguanide
Action: Reduces glucose production in liver and increases tissue sensitivity.
Dose/Route: PO 500 mg bid or 850 mg/day initially, then 500 mg weekly or 850 mg
q2wk up to 2000 mg/day in divided doses with morning meal every other wk, max 2550
mg/day
Side effects: fatigue, diarrhea, headaches, rash
Adverse Effects: lactic acidosis, PCOS, thrombocytopenia
Toxicity: Kidney failure
Pharmacokinetics: Excreted by kidneys half-life 6 hr, peak 2-3 hr
Interactions: Must be held 1-2 days before IV contrast media given and for 48 hr after due
to renal failure. Do not use with dofetilide
Nursing Considerations: Assess vitals, blood glucose levels, CBC baseline, renal, A1C
Patient Education: Take with food, no ETOH, self-monitor blood glucose as prescribed,
may cause weight loss
NPH- Intermediate acting Insulin (Humulin N, Novolin N)
This study source was downloaded by 100000840166818 from CourseHero.com on 12-23-2022 09:53:34 GMT -06:00
https://www.coursehero.com/file/98361576/JessicaCanez-ATI-Ticket-in-DMdocx/
You will be required to turn in this completed “Ticket In” the day before your Simulation
in order to participate in the simulation.
Objectives:
After completion of the lesson, the student will be able to:
Use clinical reasoning to promote a positive outcome for a client who has diabetes
mellitus.
Recognize symptoms of hyperglycemia and hypoglycemia.
Describe important considerations for client and family diabetic teaching.
Teach a client how to monitor blood glucose, select appropriate sites, and self-administer
insulin.
Intervene with a client struggling with adherence to diet and lifestyle changes.
Using the Fundamentals of Nursing textbook, identify each of the terms below: give a definition
and explain the implications for nursing. You may use other resources if needed. Provide APA
referencing for all sources.
Hemoglobin A1c- 6.5% or higher is considered diabetic. HbAc1 is a blood test that
measures the average blood glucose over 2-3 months. This test can diagnosis between
diabetes, prediabetes, and monitor treatment. Fasting is not required
Metabolic panel – This blood test is a basic metabolic panel that can measure abnormal
blood sugar levels
This study source was downloaded by 100000840166818 from CourseHero.com on 12-23-2022 09:53:34 GMT -06:00
https://www.coursehero.com/file/98361576/JessicaCanez-ATI-Ticket-in-DMdocx/
, Fingerstick blood glucose- This is a daily blood test that monitors blood sugar levels.
This is usually done with blood glucose monitoring machine. Alcohol may interfere with
test results.
Medications: Type out your med on-classification, action, dosage and route, side effects, adverse
effects, toxicity, pharmacokinetics, interactions, and nursing considerations. (No Copy to Paste
is accepted if you cite be sure to acknowledge in APA format). Also include: a brief explanation
as if you were educating the patient regarding the medication.
Metformin
Classification: Antidiabetic, Biguanide
Action: Reduces glucose production in liver and increases tissue sensitivity.
Dose/Route: PO 500 mg bid or 850 mg/day initially, then 500 mg weekly or 850 mg
q2wk up to 2000 mg/day in divided doses with morning meal every other wk, max 2550
mg/day
Side effects: fatigue, diarrhea, headaches, rash
Adverse Effects: lactic acidosis, PCOS, thrombocytopenia
Toxicity: Kidney failure
Pharmacokinetics: Excreted by kidneys half-life 6 hr, peak 2-3 hr
Interactions: Must be held 1-2 days before IV contrast media given and for 48 hr after due
to renal failure. Do not use with dofetilide
Nursing Considerations: Assess vitals, blood glucose levels, CBC baseline, renal, A1C
Patient Education: Take with food, no ETOH, self-monitor blood glucose as prescribed,
may cause weight loss
NPH- Intermediate acting Insulin (Humulin N, Novolin N)
This study source was downloaded by 100000840166818 from CourseHero.com on 12-23-2022 09:53:34 GMT -06:00
https://www.coursehero.com/file/98361576/JessicaCanez-ATI-Ticket-in-DMdocx/
