What is metabolic syndrome and what symptoms of metabolic syndrome does Mrs. R demonstrate?


Metabolic syndrome is a cluster of symptoms that include abdominal obesity with a waist of 40 inches or more for men, 35 inches or more for women; high triglycerides: 150 mg/dL or more; low HDL cholesterol: below 40 mg/dL for men, below 50 for women; most people with the syndrome also have more small, dense LDL ("very bad") cholesterol particles; high blood pressure: 130/85 or higher; frequently hypercoagulability is a problem; and insulin resistance.

Mrs. R has a waist of 42", elevated TG, low HDL, elevated LDL but the type of LDL is not known, elevated BP, and insulin resistance.

Nursing

You might also like to view...

An elderly patient who is about to have open-heart surgery has verbally instructed the nurse that she does not want her life to be extended by a ventilator after the surgery

The patient's advance directive, however, indicates that she would prefer to receive all life-support measures. The nurse suspects that the patient has dementia. Which of the following questions would be most appropriate for the nurse to ask in the assessment stage of ethical decision making? A) What are the ethical issues related to continuing or removing life-support measures for this patient? B) Who should be involved in making the decision regarding life-support measures for this patient? C) Is this patient mentally competent to make decisions about use of life support? D) What educational changes can be made in the ICU to resolve similar ethical challenges related to life support measures in the future?

Nursing

A male patient has been admitted to the oncology unit for the treatment of prostate cancer. The nurse receives an order to start the patient on flutamide (Eulexin) therapy. The nurse will want to monitor which of the following?

a. Liver enzymes b. Serum creatinine c. Lipid profile d. Complete blood cell count

Nursing

The nurse is preparing to administer doses of hydrochlorothiazide (HydroDIURIL) and digoxin (Lanoxin) to a patient who has heart failure

The patient reports having blurred vision. The nurse notes a heart rate of 60 beats per minute and a blood pressure of 140/78 mm Hg. Which action will the nurse take? a. Administer the medications and request an order for serum electrolytes. b. Give both medications and evaluate serum blood glucose frequently. c. Hold the digoxin and notify the provider. d. Hold the hydrochlorothiazide and notify the provider.

Nursing

When providing care to a child requiring temperature measurement, nurses use evidence-based practice whenever they

a. understand that a rectal temperature is the most accurate method in a child. b. understand that a rectal temperature is the least accurate method in a child. c. understand that an axillary temperature is the most accurate method in a child. d. understand that adding 1?C to an axillary temperature in a child is as accurate as a rectal temperature.

Nursing