16 hours ago · your patient is a 56-year-old woman with a history of type 2 diabetes who reports feeling dizzy. she is pale and diaphoretic. her blood pressure is 80/60 mm hg. the cardiac … >> Go To The Portal
Diabetes is a serious disease, and it affects many older adults. People get diabetes when their blood glucose, also called blood sugar, is too high. The good news is that you can take steps to delay or prevent type 2 diabetes, which is the most common form of the disease to develop in older adults.
You may also get skin infections or heal slowly from cuts and bruises. Some people with type 2 diabetes may not realize they have it because symptoms often develop slowly and go unnoticed.
A 35-year-old woman has palpitations, light-headedness, and a stable tachycardia. The monitor shows a regular narrow-complex QRS at a rate of 180/min. Vagal maneuvers have not been effective in terminating the rhythm. An IV has been established. Which drug should be administered?
A 57-year-old woman has palpitations, chest discomfort, and tachycardia. The monitor shows a regular wide-complex QRS at a rate of 180/min. She becomes diaphoretic, and her blood pressure is 80/60 mm Hg. Which action do you take next? A 35-year-old woman has palpitations, light-headedness, and a stable tachycardia.
After providing a shock with an AED you should:Start CPR, beginning with chest compressions.check a pulse.give a rescue breath.let the AED reanalyze the rhythm.
Once an advanced airway is in place, chest compressions are no longer interrupted for ventilations. 1 breath should be given every 6 seconds (10 breaths per minute). You should be given adequate time to practice with these devices during your ACLS training before ACLS megacode testing.
High-Quality CPR Saves Lives Chest compression fraction >80% Compression rate of 100-120/min.
Air delivered with each rescue breath can enter the stomach when pressure in the esophagus exceeds the lower esophageal sphincter opening pressure.
Ventilation in Respiratory and Cardiac Arrest For respiratory and cardiac arrest, provide 1 breath every 6 seconds (10 breaths per minute).
Give ventilations (1 every 5–6 seconds for adult; 1 every 3–5 seconds for child or baby).
The minimum acceptable blood pressure is determined by adequate perfusion of the vital organs without symptoms of hypotension. This is usually more than 90 mm Hg systolic and 60 mm Hg diastolic, although there can be great variation between patients.
Chest Compressions The compression rate for adult CPR is approximately 100 per minute (Class IIb). The compression-ventilation ratio for 1- and 2-rescuer CPR is 15 compressions to 2 ventilations when the victim's airway is unprotected (not intubated) (Class IIb).
30:2Open the Airway and Give Ventilations For the lone rescuer a compression-to-ventilation ratio of 30:2 is recommended. After the initial set of 30 compressions, open the airway and give 2 breaths. In an unresponsive infant or child, the tongue may obstruct the airway and interfere with ventilations.
The mouth to nose method may be used where the rescuer chooses, the victim's jaws' are tightly clenched, or when resuscitating infants and small children (mouth to mouth and nose). The technique for mouth to nose is the same as for mouth to mouth except for sealing the airway. Tilt the head back.
2 rescue breathsCPR with rescue breaths Place the heel of your hand on the centre of the person's chest, then place the palm of your other hand on top and press down by 5 to 6cm (2 to 2.5 inches) at a steady rate of 100 to 120 compressions a minute. After every 30 chest compressions, give 2 rescue breaths.
Switch roles after every five cycles of compressions and breaths. One cycle consists of 30 compressions and two breaths for adults. Be sure that between each compression you completely stop pressing on the chest and allow the chest wall to return to its natural position.
Some people with type 2 diabetes may not realize they have it because symptoms often develop slowly and go unnoticed. Sometimes older adults dismiss these symptoms as “getting old,” but they can be signs of a serious problem. Talk with your doctor if you have any of these symptoms. YouTube. National Institute On Aging.
Many people with type 2 diabetes can manage their blood glucose levels with diet and exercise alone. Others may need diabetes pills or insulin injections, along with medicines to manage other conditions like high blood pressure and high cholesterol.
Millions of older Americans have “prediabetes.”. This means their glucose levels are higher than normal but not high enough to be called diabetes. People with prediabetes have a greater chance of developing type 2 diabetes and having a heart attack or stroke.
Your diabetes management plan will cover how to: 1 Track your glucose levels. Very high glucose levels (called hyperglycemia) or very low glucose levels (called hypoglycemia) can be risky to your health. Your plan will show how often you should check your glucose and how often to get the A1C test. If you are managing your diabetes without taking insulin, you may not need to check your glucose as often. 2 Make healthy food choices. The food you eat affects glucose levels, so it’s important to learn what’s best for you to eat, how much, and when. If you are overweight, work with your health care team to come up with a plan to lose weight. 3 Be active. Walking and other forms of daily exercise can help improve glucose levels in older people with diabetes. Set a goal to be more active most days of the week, and create a plan for being physically active that fits into your life and that you can follow. Your health care team can help. 4 Take your medicines. You should take medicine as prescribed even when you feel good. Tell your doctor if you have any side effects or cannot afford your medicines. Also, let your doctor know if you have trouble taking your medicine or keeping track of your medication schedule.
Fasting plasma glucose test — taken after you have gone without food for at least eight hours. Oral glucose tolerance test — taken after fasting overnight and then again two hours after having a sugary drink (This is not regularly given for type 2 diabetes).
Types of diabetes. There are two main kinds of diabetes. In Type 1 diabetes, the body does not make insulin. Although older adults can develop this type of diabetes, it begins most often in children and young adults, who then have diabetes for life. In Type 2 diabetes, the body does not make or use insulin well.
Work with your doctor to set up a plan to help you make healthier food choices and get regular exercise. Get help with quitting smoking (if you smoke), because smokers are more likely than nonsmokers to develop type 2 diabetes. Make sure to ask how often you should have your glucose levels checked.