Académique Documents
Professionnel Documents
Culture Documents
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A. Personal Data
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ï Paternal Side
- Grandfather (+) DM
- Youngest Uncle (+) DM
- Father (+) DM
ï Maternal Side
- Grandmother (+) DM
- Eldest sister of Mother (+) DM
- Mother (+) DM
ï uccasional coughs
ï Colds
ï Fever
ï Diagnosed when she was 35
years old
ï FBS: 240 mg/dl
ï Medications given:
Vitrectomy
ï August 2007 ± blurring of vision
uD
ï September 2007 ± performed
Vitrectomy uD
ï February 20, 2008 ± client
complained of seeing black color in
the corner of her left eye. She was
diagnosed of Retinal Detachment.
ï February 22, 2008 ± scheduled for
Scleral buckling, (+) HPN & unstable
blood sugar levels
ï February 25, 2008 ± the client
undergone Scleral buckling
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ï VS: BP-
BP- 140/90, T-T- 37, PR
PR-- 86, RR
RR-- 20
ï Head : round shape, no tenderness,
swelling or lesions noted upon palpation,
no abnormal configuration noted
ï Hair & Scalp : hair is evenly distributed,
thick, black, dry and wavy up to the
shoulder, no lice or dandruff noted upon
inspection, no lesions or masses
ï Face & Skull : symmetrical facial
movement, smooth skull, no nodules or
depressions
ï Insulin
ï Glucagon
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ï Conjunctiva
ï Iris
ï Pupil
ï Lens
ï Aqueous Humor
ï Vitreous Humor
ï Retina
Pathophysiology (Client-centered)
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ï IVF : PNSS 1L x KVu
ï Drugs:
Cefuroxime 750 mg IV Q8 (- (-)
ANST
Metformin 500mg/tab, 1 tablet TID
Glipizide 5mg/tab, 1 tablet BID PC
Captopril 25mg/tab, 1 tablet BID
ï Clonidine 75mcg/tab, 1 tablet SL stat
ï Humulin R sliding scale
(Subcutaneous)
160 to 200 : 4 units
201 to 250 : 6 units
251 to 300 : 8 units
301 to 350 : 10 units
<80 & >351 : refer to AP
ï Diet : Soft, Diabetic diet
NPu