Medical-surgical Nursing Demystified

(Sean Pound) #1

(^364) Medical-Surgical Nursing Demystified
the pancreas are unable to produce sufficient insulin while the liver produces a
higher level of glucose. The patient is also insulin-resistant. This syndrome leads
to cardiovascular disease.
PROGNOSIS
A diagnosis of metabolic syndrome puts one at high risk for the development of
diabetes and heart disease. Changes in lifestyle must be made to decrease the
chance of incurring these diseases.
HALLMARK SIGNS AND SYMPTOMS



  • Hypertension

  • Abdominal obesity


INTERPRETING TEST RESULTS



  • Decreased HDL.

  • Increased LDL.

  • Increased triglycerides.

  • Elevated fasting glucose.


TREATMENT



  • Administer statin to lower LDL.

  • Administer niacin to raise HDL.

  • Administer fibrates to lower triglycerides.

  • Administer ACE inhibitors to lower blood pressure.

  • Administer angiotensin receptor blockers to lower blood pressure.

  • Administer insulin sensitizers to improve the effectiveness of insulin.

  • Manage weight through diet and exercise.


NURSING DIAGNOSES



  • Readiness for enhanced nutritional metabolic pattern

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