maxsodakitty

Wow, thankyou so much, that was really helpful! :wink2:

Hi, i am wondering what it is with T2D that actually causes patients to get venous leg ulcers? I know that patients with T2D have deficiencies in insulins actions and that if a patient is hyperglycemic that it can lead to high levels of glucose in the blood leading to it been excreted through the urine and taking water with it leaving the patient dry. I know venous leg ulcers are caused by venous insufficiency or the valves been damaged and not allowing blood back up in the vein and that the slowed circulation causes fluid to seep out of the overfilled veins into surrounding tissues, causing tissue breakdown and ulcers. But how exactly does T2D cause this. If a patient had a knock to the leg why does it cause a persistant ulcer? Thanks

Hi, I am just trying to figure out something i read about dextrose. Dextrose is used to supply water and calories to the body. I read that given 5mg IV it is an isotonic solution but given at 10mg it is a hypertonic solution and would pull fluid into the vascular space by osmosis resulting in pulmonary oedema. Is this true? Thanks

Hi, I am having trouble distinguishing what are the most important factors or interventions when dealing with an elderly patient that has suffered acute renal failure related to dehydration. I am relating my discussion to the first few hours of care after the event. I know that it involves fluid and electrolyte management, nutrition (limit salt intake, watch potassium and phosphorus levels), medication management and observing vital signs regularly. Are there any other major care methods i should be prioritising? Help would be greatly appreciated!