Pathophysiology and Pharmacological Management - Insulin Synthesis - Hyperglycaemia - Metformin - Nursing Assessment Answer

Assessment Task:

Pathophysiology and Pharmacological Management Nursing Assessment Answer

STUDENT INSTRUCTIONS: Type 2 diabetes mellitus Vodcast questions You will have the opportunity to describe the pathophysiology and pharmacological management for a person/client with type 2 diabetes mellitus. 

We would like you to show your understanding by making explicit the links between pathophysiology, clinical manifestations and pharmacological management of your person/client’s disease.

Your answers to these questions will be used to grade the ‘coverage of subject matter’ and ‘accuracy of information’ sections of your Vodcast assignment (see marking rubric provided at the end of this document). At the beginning of your Vodcast, you need to set the scene within the first minute – tell us about your person/client (refer to the Unit Outline for the details required). Then proceed to answer the following questions. You must answer the 4 questions below: 

Question 1. The following physiological processes are important for blood glucose control: • Insulin synthesis and release • Insulin binding to target tissues Explain how they are different in your person/client in comparison to a healthy non-diabetic person.

Question 2. The following are some consequences of long-term poorly controlled hyperglycaemia: • Neuropathy • Myocardial infarction Explain why they may occur in your person/client.

Question 3. The following drugs are used in the management of type II diabetes mellitus. • Metformin • Insulin Choose ONE that is appropriate for your person/client. Discuss why it can be used by your person/client by referring to its mechanism of action.

Question 4. Answer both parts (a) and (b) (a) Insulin resistance can occur in a person with increased abdominal adiposity. Explain the pathophysiological basis for this. (b) Explain why HbA1c is used as a measure of long-term control of blood glucose levels and how this measure will be useful in the management of your person’s/client’s disease.

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