What Underlying Endocrine Condition is Indicated by Sandra's Blood Test - Medical Science Assignment Help

Assignment Task:

Task:

• lymphocytes: 0.8 X 109/1. (reference range: 1.0-3.0 X 10.9/L) 8: a4Prafelet: 250 X 10.9/L (reference range: 150-400X 10.9/L) •1 =)'

• Free T3 = 15 pmol/L (reference range 3.5 — 6.0 pmol/L)

• Free T4 = 75 pmol/L (reference range 10 — 20 pmol/L

• TSH = 0.02 (reference range 0.500 — 4.2 ILIA

• TSH-Receptor antibody (TSH-RAB AB) = positive and significantly elevated.

• Antithyroid peroxidase (anti-7P°) and antithyroglobulin = negative or low titre 

Part 1 Questions 
1.What underlying endocrine condition is indicated by Sandra's blood test, as well as the signs and symptoms (dinical features) she is experiencing, Describe the pathophysiology of the condition. You need to explain the following aspects in this section and link them to Sandra:

1.1 Identify the underlying condition

1.2 Interpret Sandra's blood test results and clinical features, and link back to Sandra

1.3 Include at least 4 risk factors relevant to Sandra

1.4 Explain the pathophysiology of the specific condition Sandra is suffering from, making links to Sandra throughout

1.5 Explain at least 5 complications of this condition that are relevant to Sandra 
 

Part 2 Questions 
Further blood test results reveal that Sandra's blood glucose level (BGL) is 12.9 rnmol/L (3.9-6.1 mmol/L]: HbAlc: 9% (normal <8.5%I. 
Sandra's GP referred her to an Endocrinologist. Her conditions, blood test results and medications were reviewed by the specialist. Sandra was advised to stop metforrnin and prescribed Tab Sitagliptin (Januvia) 50 mg daily in addition to glipizide 5 mg (Minidiab) half a tablet daily. The Endocrinologist also added Tab Carbimazole 5 mg daily for managing her recently developed signs and symptoms, and the related Endocrinological condition. 

2.1. Identify 4 risk factors potentially causing Sandra's high BGL and HbAlc. Discuss how each risk factor affects BGLs and HbAlc.

2.2 Discuss the three medications Sandra is prescribed by the Endocrinologist. Include in your answer the action, complications, relevant side effects and relevant nursing considerations linked to Sandra's situation.

2.3 Explain five complications that Sandra could experience if her blood glucose level (BGL) and HbA1c remain high.

2.4 Identify and briefly discuss four preventive measures Sandra could use to reduce her risk of developing complications related to T2DM 
Add a conclusion in your own words (no new reference should be added in the conclusion) 
 

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