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Firdavs [7]
3 years ago
9

Susan is a 26 year old G1 P0 at 6 weeks of gestation with type 2 diabetes. Her BMI is 32. Her hemoglobin A1c is 9. She takes gly

uburide 10mg daily. The physician has switched her to insulin at this time. What is the nursing priority at this time?
Health
1 answer:
tiny-mole [99]3 years ago
6 0

In this case, the nurse should prioritize insulin therapy for the risk of miscarriage and birth defects is the highest with increase glucose levels. The glycated hemoglobin or hemoglobin A1C that is >8 percent or the average blood glucose is >180 mg/dL is an indication of increase glucose level.

In addition, glucose in the mother's blood will cross in the placenta to provide energy for the baby but would result to high blood glucose levels in the developing baby as well, which is critical and should be address immediately.

 

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Anesthetics administered into the epidural space are advantageous because __________.
Naya [18.7K]

Answer:

Epidural anesthesia

It is the administration of local anesthetic and / or opioid derivatives in the epidural space, with the benefit of the possibility of placing a catheter in said space for the subsequent infusion of drugs, prolonging their effect over time.

It allows to adjust the depth of the block (vegetative, sensitive and motor stimulus).

Epidural anesthesia is very similar to the spinal, however the differences should be noted:

In epidural anesthesia the analgesic is injected into the epidural region, which is located around the spinal canal and not exactly inside, as in the case of spinal anesthesia.

In epidural anesthesia, the analgesic is injected through a catheter, which is implanted in the epidural space. While in spinal anesthesia the anesthetic is administered by a needle only once; In the epidural the anesthetic is administered continuously through the catheter.

Epidural anesthesia can still be administered in the postoperative period to control pain in the first hours after surgery. Just keep the infusion of analgesia by the catheter.

The amount of anesthetics administered is much smaller in spinal anesthesia.

Complications

Both types of regional anesthesia can bring complications. Among the main ones, we can specify:

Hematic puncture: blood flow through the needle.

Paresthesia: unpleasant sensation associated with puncture (tingling, cramping ...)

Arterial hypotension: due to vasodilation caused by sympathetic block.

Nausea and vomiting: usually secondary to hypotension.

Urinary retention: by blockage of the bladder detrusor muscle.

Low back pain: especially after repeated attempts with large caliber needles.

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3 years ago
The goal of Hospice is to care for the terminally ill and what
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