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mr Goodwill [35]
3 years ago
12

Going offline just getting b o r e d here :'(​

Medicine
1 answer:
Maurinko [17]3 years ago
4 0
I’m bored tooo lolll
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Which type of information system (is) is used to help doctors diagnose diseases?
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If a diabetic patient uses insulin, and the type of diabetes is not documented, what type of diabetes would be coded according t
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The guidelines state that if the type of diabetes is not documented, the default is type 2.

The guidelines also instruct to use additional codes to identify long-term control with insulin (Z79. 4) or oral hypoglycemic drugs (Z79. 84).

The type of diabetes mellitus should always be clearly documented in the medical record for each date of service. However, if the type of diabetes mellitus is not documented in the medical record, the default ICD-10 diagnosis code is E11, type 2 diabetes mellitus.

Secondary diabetes can be defined as a diabetic condition that develops after the destruction of the beta-cells in the pancreatic islets and/or the induction of insulin resistance by an acquired disease (e.g. endocrinopathies) or others.

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2 years ago
The nurse administers cimetidine to a 75-year-old client diagnosed with a gastric ulcer. the nurse should monitor the client for
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The nurse administers cimetidine to a 75-year-old client diagnosed with a Gastric ulcer the nurse should monitor the client for the following adverse reactions Headache, Sleepiness, Confusion, Dizziness, Nausea which contribute for the change in Metal status.

  • Cimetidine is a H2\\ Receptor Antagonist.
  • Gastric partial cells contains receptors for Histamine.
  • Histamine is released from the Enterochromaffin cells upon the stimulation from food intake or from Vagus nerve stimulation.
  • Thus Histamine released from Enterochromaffin cells binds to H2\\ receptors on the parietal cells and increases the secretion of HCl.
  • Cimetidine has totally opposite effect and decreases the secretion of HCl from the parietal cells.
  • Not only on gastric cells H2\\ receptors are also present in CNS where they stimulate brain cells.
  • The above point justifies the adverse effects of Cimetidine.
  • Patients over the age of 50 or those who are severely ill may experience transient confusion while taking H2 blockers, particularly cimetidine.

Hence from these points we can conclude that patients who are above 50 years and receiving Cimetidine medication for gastric ulcer should be monitored for the above mentioned adverse reactions.

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