92 yo has T2DM with A1c of 7.1 and taking metformin, jardiance, and glimiperide. Regarding his A1C, you counsel that

Answers

Answer 1

Based on the patient's A1c of 7.1, it appears that their blood sugar levels are not well controlled.

While the combination of metformin, jardiance, and glimiperide can be effective in managing type 2 diabetes, it may not be enough for this particular patient. It is important to reassess their medication regimen and possibly consider adjusting the dosages or adding additional medications to better control their blood sugar levels. Additionally, lifestyle modifications such as regular exercise and a healthy diet should also be emphasized to help improve their A1c and overall health. Based on the information provided, the 92-year-old patient has Type 2 Diabetes Mellitus (T2DM) and an A1c level of 7.1%. They are currently taking metformin, Jardiance, and glimepiride. Regarding their A1c level, you should counsel that it indicates relatively good glycemic control, as the target A1c for most adults with diabetes is usually below 7%. However, considering the patient's age and individual factors, it is essential to discuss personalized targets and potential risks with their healthcare provider.

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Related Questions

A body i found wrapped in platic inide the freezer at a retaurant where the victim wa oberved having hi lat known meal. The retaurant had been cloed for 4 day while the owner wa on vacation. How could an approximate time of death bet be determined?

Answers

The approximate time of death in this case can best be determined by examining the body and its surroundings. One way to do this is by measuring the body temperature, which decreases at a predictable rate after death.

This is known as the Algor Mortis method. Another way to determine the time of death is by examining the degree of rigor mortis, or stiffness, in the body. This typically begins within a few hours of death and reaches its peak after about 12 hours. Additionally, forensic entomology, or the study of insects on the body, can provide information about the time of death. By examining the types and life stages of insects present on the body, an approximate time of death can be determined. Overall, a combination of these methods can provide the most accurate estimation of the time of death for the body found wrapped in plastic inside the freezer at the restaurant.

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Some babies in Ainsworth's study were clinging and unwilling to explore, very upset by the stranger regardless of the mother's presence, mightily protested when the mother left, were hard to soothe, and had mixed reactions upon mother's return. This behavior reflects what kind of attachment?

a
Secure

b
Avoidant

c
Anxious

d
Disorganized/disoriented

e
Difficult

Answers

Answer:

a

Explanation:

took the quiz

The nurse is educating a couple concerning the process of fertilization. the nurse explains to the couple that which component stimulates the release of estrogen and progesterone after fertilization?

Answers

The nurse explains to the couple that human chorionic gonadotropin (hCG) stimulates the corpus luteum to the release of estrogen and progesterone after fertilization.

What is fertilization? Fertilization, also known as generative fertilization, syngamy, and impregnation, is the union of gametes to give rise to a new individual organism or progeny and begin its development.The act of fertilization and the birth of new life is referred to as sexual reproduction.Human chorionic gonadotropin (hCG) increases the production of estrogen and progesterone in the corpus luteum following fertilization.Inhibin is a hormone produced by the ovarian follicles; it inhibits the secretion of follicle-stimulating hormone (FSH) and gonadotropin-releasing hormone (GnRH).

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A client is undergoing a transplantation surgery, where an organ is replaced from another person’s body. The body, under normal conditions, reacts to foreign cells to protect against a possible attack by the foreign cells. Which two medicines should the doctor administer before the surgery to prevent the body from reacting to the newly implanted organ? immunosuppressant medicines antiviral medicines corticosteroid medicines antibiotic medicines antifungal medicines

Answers

The two medicines that should be administered before the transplantation surgery to prevent the body from reacting to the newly implanted organ are immunosuppressant medicines and corticosteroid medicines.

Immunosuppressant medicines work by suppressing the immune system's response to foreign cells, which can help prevent rejection of the transplanted organ. Corticosteroid medicines are also used to suppress the immune system and reduce inflammation, which can help prevent the body from attacking the newly implanted organ.

Antiviral, antibiotic, and antifungal medicines are used to treat infections caused by viruses, bacteria, and fungi, respectively. While these medications may be used in certain cases after a transplantation surgery, they are not typically used as a preventative measure to prevent rejection of the transplanted organ.

what are the 2 layers of testes

Answers

There are two layers of the tunica vaginalis: the visceral and the parietal. The visceral layer overlies the tunica albuginea (middle layer of the tunica) while the parietal layer lines the scrotal cavity.

Answer:

There are two layers of the tunica vaginalis: the visceral and the parietal. The visceral layer overlies the tunica albuginea (middle layer of the tunica) while the parietal layer lines the scrotal cavity.26

Another form of fibrous connective tissue of the body that covers, connects or supports other tissues is called?

Answers

Fibrous connective tissues (figure 1) are the most diverse type of connective tissue. They are also called fibroconnective tissue or connective tissue proper. Reticular fibers are the third type of protein fiber found in connective tissues. This fiber consists of thin strands of collagen that form a network of fibers to support the tissue and other organs to which it is connected.

as blood moves through circulatory system, it puts pressure on the walls of the vessesls. describe 3 factors that influence the amount of pressure on the blood vessel walls

Answers

According to the research, the correct answer is that the elasticity of vessel walls, the vascular tone and viscosity of the blood are three factors that influence the amount of pressure on the blood vessel walls.

What are blood vessels?

It is a network of ducts responsible for conducting or transporting blood from the heart containing nutrients and oxygen to the tissues and vice versa.

In this sense, blood vessels have a certain tonicity or state of tension of their walls that determines the pressure, these are affected by the vascular tone of arteries and small arterioles that creates a peripheral resistance to blood flow, also elasticity is a property of the arterial wall necessary for its proper functioning where the viscosity of the blood is what allows the blood to flow easily.

Therefore, we can conclude that according to the research, the pressure exerted by circulating blood on the blood vessel walls is altered by the elasticity of vessel walls, vascular tone, and blood viscosity.

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Which of the following BEST describes the effects that fetal alcohol syndrome has on a child's mental abilities?

Answers

Answer:

it causes them to loose ability ro do things and when the come out of the womb the might not cry

Explanation:

because the alcohol is going into the fetals brain system and organs and they have not gotten that much strenght

Answer:

(Insert something)

Explanation:

The effects that Fetal alcohol syndrome has on a child's mental abilities are Poor memory, difficulty in school, learning disabilities, and intellectual disability or low IQ just to name a few.


The
peripheral nervous system (PNS) connects to the brain and spinal
cord by 12 pairs of cranial nerves and 31 pairs of spinal nerves .
What is the ratio of cranial nerves to the total number of nerve

Answers

         The ratio of cranial nerves to the total number of nerves in the peripheral nervous system is 12:43.

           For 12 pairs of cranial nerves, there are 31 spinal nerve pairs, a total of 43 paired nerves together forming the peripheral nervous system.

         PNS has both cranial and spinal nerves. 12 pairs of cranial nerves connect directly to the brain, and 31 pairs of spinal nerves emerge from the spinal cord. Together 12 + 31 = 43, so there are 43 total nerves in PNS.

To calculate the ratio:

divide the no of cranial nerves by the total pair of nerves

12(cranial nerves)/43(total nerves)

12/43

The ratio is 12:43

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The ratio of cranial nerves to the total number of nerves in the peripheral nervous system (PNS) is 12:43.

The peripheral nervous system consists of two main components: the cranial nerves and the spinal nerves. The cranial nerves are a set of 12 pairs of nerves that directly connect the brain to various parts of the head, neck, and upper body. These nerves emerge from the base of the brain and are responsible for functions such as vision, hearing, taste, smell, facial expressions, and motor control of the head and neck.

On the other hand, the spinal nerves are a set of 31 pairs of nerves that originate from the spinal cord and extend to different regions of the body. These nerves control sensation, movement, and organ function in the torso and lower body.

When considering the ratio of cranial nerves to the total number of nerves in the PNS, we add the 12 pairs of cranial nerves to the 31 pairs of spinal nerves, resulting in a total of 43 pairs of nerves. Therefore, the ratio of cranial nerves to the total number of nerves is 12:43.

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A question provides the desired drug concentration = 10 mg/L, Volume of distribution = 25L and Clearance rate = 100 mL/min. But not given the bioavailability!
It did not specify whether the administration of drug is oral or IV. How to calculate the Loading dose? Is there any formulas?

Answers

The formula to calculate loading dose; Loading Dose = Desired Concentration x Volume of Distribution. The loading dose is 250 mg.

When the volume of distribution and clearance rate are known, and the drug concentration is desired, the loading dose is determined. Loading dose is the first dose given to a patient to rapidly reach the therapeutic level of a drug in the body.

The formula to calculate loading dose is as follows:

Loading Dose = Desired Concentration x Volume of Distribution.

The following factors can impact drug concentration: dose, bioavailability, clearance, and volume of distribution.

However, since bioavailability is not mentioned, we must work with the available information. The volume of distribution (Vd) of a drug refers to the apparent volume of the body where the drug is distributed after administration.

A drug with a larger Vd is distributed more throughout the body, indicating that it is highly lipophilic and accumulates in body tissues.

Clearance rate (Cl) refers to the rate at which a drug is eliminated from the body. It refers to the volume of blood cleared of the drug in a minute. 1 L of plasma is cleared of the drug for each Cl value.

In this question, the volume of distribution is 25L and the clearance rate is 100 mL/min. We will have to convert the clearance rate into litres per minute by dividing it by 1000.

Therefore, the clearance rate is 0.1 L/min. The loading dose is calculated using the following formula:

Loading Dose = Desired Concentration x Volume of Distribution.

Loading Dose = 10 mg/L x 25 L.Loading Dose = 250 mg. Therefore, the loading dose is 250 mg.

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Deoxygenated blood moves through which of the following?
Select one:
O a. right ventricle
O b. aorta
O c. left ventricle
O d. left atrium

Answers

Answer:

b

Explanation:

because that is how we were taught the time i was doing grade 9 & we were given diagram as to show us

Letter A is correct

Deoxygenated blood moves through the right ventricle.

The deoxygenated blood goes through the vena cava, right atrium, tricuspid valve, then to the right ventricle.

Here’s the full pathway of the blood:

DEOXYGENATED BLOOD > vena cava > right atrium > right ventricle > tricuspid valve > right ventricle > pulmonary valve > pulmonary artery > LUNGS (blood is now OXYGENATED) > pulmonary veins > left atrium > bicuspid (mitral) valve > left ventricle > aortic valve > aorta > BODY


If this was confusing, sorry. This was the only way for me to explain lol

Does Someone Want To Freestyle With Me

Answers

Answer:

sure :)

Explanation:

ribbit,

tsu-chan (^◡^)

Answer:I’m gonna live my life like a king all this bling, all these racks,all the stacks. (Get that bag), I’m pushin p gonna keep it real, No Nas but my flow is steel.

Explanation:

Lanoxin pediatric solution available in 0.5mg/ml. If a patient takes 0.25 mg of lanoxin per day, what will be the dispensed quantity im ml for 30 bdays

Answers

Answer:

15 mL

Explanation:

order/on hand x # days

0.25 mg/0.5 x 30

An example of a dangerous bacterial infection that is resistant to several widely used antibiotics is.

Answers

Most methicillin-resistant Staphylococcus aureus, or MRSA, infections contracted outside of a hospital are skin infections. In medical centers, MRSA causes life-threatening bloodstream and surgical-site infections, as well as pneumonia. MRSA is one of the most common antibiotic-resistant bacteria

Recall reasons for maintaining a medical chart and what may comprise the medical chart.

Answers

Having a medical chart is important to make sure all of your vitals are stable but also it is important to see if there are any abnormalities and if you need to get checked up on. Something that may compromise the chart is if you spike a fever or your pupils aren’t responsive.

The fact that fine motor skills are aided by gross motor skill capabilities underscores the _____.

Answers

Answer:

Explanation:

3

which of the following terms is now used to refer to an embalmer

Answers

Answer:

In a funeral home, the embalmer is responsible for embalming and preparing the bodies of the deceased for funeral services as well as burials or cremations.

How many days are in a week?

Answers

Answer:

There are 7 days in a week lol

Answer:

\( \huge \boxed{ \boxed{ \red{ \text{7 \: days \: in \: a \: week}}}}\)

What kind of first aid should be taken in
fire ?​

Answers

Answer:

to cool the burned parts with water or wet cloth. This stops the action of the thermal agent and considerably reduces pain. Very extensive burns must be treated either by immersing the part in water at room temperature or by covering the part with damp cloth.

Water and a wet cloth

pain is an unnatural process that serves no purpose except to make people suffer.

Answers

hi! im chimken and i have your answers!

pain is a natural process to tell the body whether it is rotting, burning, melting. as your brain sends signals to your body, your body tells you to STOP and to MOVE AWAY from this pain, or else your heart and brain will stop and die.

praise bingus :))

False. It is a natural part of our body as a way to maintain safety.

Which of these is an advantage of a CT scan over an MRI

Answers

Answer:

Advantages of head CT. CT is much faster than MRI, making it the study of choice in cases of trauma and other acute neurological emergencies. CT can be obtained at considerably less cost than MRI, and is sufficient to exclude many neurological disorders.


Which of the following exemplifies the unconditional positive regard component of client-centered therapy?

Answers

Answer:

Abby tells her therapist that she tripped a small child who got in her way, and her therapist accepts this information without judgment.

Explanation:

A therapist seeks to understand a client's experiences without indicating approval or disapproval.

Abby tells her therapist that she tripped a small child who got in her way, and her therapist accepts this information without judgment is the statement which exemplifies the unconditional positive regard component of client-centered therapy. Thus, the correct option is A.

What is the Client-centered therapy?

Client-centered therapy is an approach to the psychotherapy which is based on a belief that the client is best able to decide what to explore and how to do it. It is unique in a field where the therapist has to characteristically act like an expert who knows how to resolve the client's problems.

Some features of Client-centered therapy include: the therapist is congruent with the client, the therapist provides the client with unconditional positive regard, and the therapist shows an empathetic understanding to the client.

Therefore, the correct option is A.

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Your question is incomplete, most probably the complete question is:

Which of the following exemplifies the unconditional positive regard component of client-centered therapy?

a. Abby tells her therapist that she tripped a small child who got in her way, and her therapist accepts this information without judgment.

b. Boris tells his therapist that that he needs stronger medication and his therapist prescribes it.

c. Natasha is late for her therapy session and her therapist believes she did this because she unconsciously dislikes therapy.

d. Xavier receives a hug from the doctor when he arrives on time; he does not get a hug when he arrives late.

Medical ethics involves rules that are __________, rather than __________.

Answers

I attach the answers on the picture
Medical ethics involves rules that are __________, rather than __________.


1. Explain how to use a stroke assessment tool such as the Cincinnati Prehospital Stroke Scale, 3-item Stroke Severity Scale (LAG) or FAST
mnemonic to test a patient for aphasia, facial weakness, and motor weakness

Answers

The question asks for an explanation on how to use one of the stroke assessment tools listed above, we will be focusing on how to use the FAST scale mnemonic.

The FAST scale for measuring the severity of a stroke take into account for factors:

FaceArms Speech Time

The "F" in this mnemonic represents the face. It tells the doctor or nurse at hand that the first check to be realized is too determine the extent to which the face is numb. The attending professional is to determine if there is numbness present, the extent of the numbness and if it is unilateral or bilateral.

The next step is to perform the same tests as the with the face, for the arms of the patient. The same factors must be assessed as was the case with the face. The third step is to asses the patients speech. The professional must asses whether the patient can speak without slurs or if the patient had trouble understanding speech.

The final step is to account for the time that passed until the patient was able to call 9-1-1. The longer a patient goes without medical attention in the aftermath of a stroke, the more severe the lasting effects may be. After all assessments have been made, the professional will score the patient in regards to the results of this process.

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Two residents have diabetes. What do you know about the steps they need with their ADLs andIDLs?

Answers

Answer: they need suport and care

Explanation:

If two residents have diabetes. Then the ADLs and IDLs activities that they should follow are:

ADLs activity: these are the daily activities, including bathing, eating, medication, bowel movement, etc.

IDLs activities: These activities are instrument-related activities like shopping, telephone, finance, social activities, driving, etc.

What are ADL and IDL?

ADL stands for Activities of Daily Living. These are the basic activities that are important for daily life. Residents should do these on their own or with assistance, and these activities are essential to maintain their health.

IDL stands for Instrumental Activities of Daily Living. These activities are more complex than the former, and they include going out and being social and using their mind for calculations, etc.

Thus, ADLs are the activities of daily living and IDLs activities are actions that include an instrument.

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The breakdown of lipids and the breakdown o carbohydrates are similar because they both blank energy

Answers

The breakdown of lipids and carbohydrates are similar because they both release energy.

Breakdown of lipids and Carbohydrates

During cellular respiration, lipids and carbohydrates are broken down into smaller molecules, such as fatty acids and glucose, respectively.

These molecules are then further processed to produce energy in the form of ATP (adenosine triphosphate).

While the specific pathways for lipid and carbohydrate breakdown differ somewhat, both ultimately lead to the release of energy that can be used by the cell for various functions.

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cpr/first aid help pls!!

cpr/first aid help pls!!

Answers

Performing CPR can help save lives in emergency situations.

CPR stands for Cardio-Pulmonary Resuscitation and it is an emergency technique that is performed to keep the person alive until professional medical help arrives. The technique involves performing chest compressions and artificial respiration to restore the breathing and blood circulation of the person suffering from cardiac arrest or any other medical emergency Knowing CPR can be extremely helpful in emergency situations and can save lives. Here are some steps to follow when performing CPR:1. Check the person’s responsiveness:

Before starting CPR, check if the person is conscious and responsive. If they are not, call for medical help immediately.2. Begin chest compressions: Place the person on a flat surface and kneel beside them. Interlock your fingers and place your hands on the center of the person’s chest. Push down on the chest with a quick motion to perform chest compressions. Repeat this 30 times at a rate of 100-120 compressions per minute.3. Perform artificial respiration: Tilt the person’s head back and lift their chin to open their airway. Pinch their nose closed and seal your mouth over theirs. Blow into their mouth for about 1 second and watch for their chest to rise. Repeat this process two times.4. Repeat chest compressions and artificial respiration: Repeat the cycle of 30 chest compressions followed by two breaths until medical help arrives or the person starts breathing on their own. Performing CPR can be mentally and physically exhausting, so it’s important to stay calm and focus on the task at hand.

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Which suggestion below is a standard for treating iron deficiency anemia in infants and children
A. Iron supplementation in divided doses between meals with orange juice
B. Iron supplementation once daily with the largest meal
C. Needs more than five servings per week with citrus juice
D. Iron supplementation with orange juice five times weekly

Answers

The standard for treating iron deficiency anemia in infants and children is option A: iron supplementation in divided doses between meals with orange juice. This helps with better absorption of iron.

Iron supplementation is typically given in divided doses between meals to enhance its absorption. Pairing iron supplements with a source of vitamin C, such as orange juice, can further enhance iron absorption due to its ability to enhance non-heme iron absorption.

Therefore, option A, which suggests iron supplementation in divided doses between meals with orange juice, aligns with the standard approach for treating iron deficiency anemia in infants and children. It's important to consult with a healthcare professional for individualized recommendations and to ensure appropriate dosing and monitoring for the treatment of iron deficiency anemia in infants and children.

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the first part of determining a conscious patient’s level of responsiveness is to:

Answers

The first part of determining a conscious patient's level of responsiveness is to assess their level of consciousness


Assessing the level of consciousness is an essential component of evaluating a patient's condition. It involves observing the patient's behavior, response to stimuli, and level of awareness. The most common tool used to assess the level of consciousness is the Glasgow Coma Scale (GCS), which measures the patient's eye, verbal, and motor responses. By evaluating the patient's level of consciousness, healthcare providers can identify any potential neurological deficits or underlying medical conditions.

To assess a conscious patient's level of responsiveness, the healthcare provider will observe the patient's behavior and response to stimuli. The provider will ask the patient simple questions, such as their name and where they are, and assess their ability to follow commands. The provider will also evaluate the patient's eye, verbal, and motor responses using the Glasgow Coma Scale. By assessing the patient's level of consciousness, healthcare providers can identify any potential issues and provide appropriate care.

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Help with a reflection piece on adult safeguarding in the United Kingdom

Answers

Adult safeguarding is the process of protecting adults who are at risk of abuse or neglect. Abuse can happen to anyone, regardless of age, gender, race, or social status.

What is adult safeguarding about?

There are many different types of adult abuse, including physical abuse, emotional abuse, financial abuse, and sexual abuse. Physical abuse is any act that causes physical harm to an adult. Emotional abuse is any act that causes emotional harm to an adult, such as threats, insults, or isolation. Financial abuse is any act that takes advantage of an adult's financial resources, such as stealing money or property. Sexual abuse is any sexual act that is forced or unwanted.

In the United Kingdom, adult safeguarding is the responsibility of a number of different agencies, including local authorities, the NHS, and the police. These agencies work together to identify and protect adults who are at risk of abuse.

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