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401209 : Diabetic Patient

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Question:

1. Explain the 11 components of a valid routine subcutaneous insulin medication order and why this is important. Support your answer with academic or clinical guideline references. 
 
2. Explain why Ben has been prescribed this medication. Relate to pathophysiology of type 1 diabetes and the mechanism of action of NovoRapid insulin. Support your answer with academic references. 
 
3. What is the onset, peak and duration of action for NovoRapid insulin according to Bullock and Manias (2017)? Explain when NovoRapid should be administered in relation to food intake and why. Support your answer with academic references. (5 marks)
 
4. Discuss the definition, causes, symptoms and treatment of hypoglycaemia, a common adverse effect of NovoRapid. Support your answer with academic references. 
 
5. Discuss the importance of understanding the medication prior to administration. Support your answer with academic references. 
 
6. Discuss the 5 rights of medication administration and why it is important for nurses to follow this procedure. Support your answer with academic references.
 
7. What is the most appropriate insulin pen needle length for Ben and why? Support your answer with academic references. 
 
8. What diabetes specific nursing assessment would you conduct prior to administration of NovoRapid insulin to Ben and why? Support your answer with academic references. (5 marks)
 
9. Identify the site and angle you would inject the NovoRapid insulin and explain why this was selected for Ben. Discuss infection control considerations. Support your answer with academic references. (5 marks)
 
10. What would you document and where? Why is documentation important? Support your answer with academic or clinical guideline references. 
 
11. Explain the diabetes specific nursing assessment you would provide for Ben post administration of insulin, when you would provide it and why. Support your answer with academic references.

Part B 

1. Discuss the daily physical challenges of living with type 1 diabetes that Ben may face. Support your answer with academic references.
 
2. Discuss potential emotional impacts of living with type 1 diabetes that Ben may face. Support your answer with academic references. 
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