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TODAY’S TEST QUESTION:
CORRECT ANSWER:
C) Glucose:
MORE INFO:
- Solumedrol is a steroid which can raise blood glucose significantly.
- If this individual is on Levemir this indicates that they are diabetic.
- When steroids are started on patients who have diabetes-monitoring blood glucose is very important!
OTHER ANSWERS:
- A) Sodium: Diabetes uncontrolled (hyperglycemia) may often see the sodium drop.
- Blood glucose would be the most important to monitor to prevent disturbances in electrolytes.
- Monitoring the glucose can help to identify when interventions need to be taken (ex: giving insulin, calling on call provider, etc).
- B) Hemoglobin: no major changes here.
- D) Blood pressure: Steroids do have the potential to increase the blood pressure.
- However, in this scenario, the glucose is most likely to significantly affected.
- The Levemir gives a clues as to the diagnosis of focus (ex-patient on Levemir-this indicates the person likely has diabetes).