NUR 205 QUESTIONS AND ANSWERS SURE A.pdf

NUR 205 QUESTIONS AND ANSWERS SURE A+
✔✔Hypercalcemia - ✔✔Higher than 10
Causes:
Excessive intake of calcium supplements or vit D
Kidney disease
Adrenal insufficiency
Hyperparathyroidism
Use of lithium

✔✔Hypercalcemia S/S - ✔✔High HR High BP
Muscle weakness
N/V
Constipation
ABD distension
Lethargy
Even coma

✔✔Hypercalcemia Treatment/Interventions - ✔✔Monitor cardiac on tele
Restrict Ca+ intake and oral meds
Diuretics that will help excrete the excess calcium
Dialysis

✔✔Calcium Gluconate is the antidote for what? - ✔✔Magnesium overdose

✔✔Calcium and phosphate - ✔✔have reciprocal relationships.

decrease Ca->increase P04 (twitch, sz, chevastke, troussou)

increase Ca->decrease P04 (muscle weakness, apathy)

✔✔Rapid Acting:

Onset?

, Peak?
Duration? - ✔✔Onset: 15 minutes
Peak: 60 minutes
Duration: 3-4 hours

✔✔Short-Acting Insulins - ✔✔Regular (Humulin R, Novolin R)

✔✔Short-Acting

Onset?
Peak?
Duration? - ✔✔Onset: 30 minutes
Peak: 2 hours
Duration: 8 hours

✔✔Intermediate-Acting Insulin - ✔✔NPH (Humulin N, Novolin N)

✔✔Intermediate-Acting Insulin

Onset?
Peak?
Duration? - ✔✔Onset: 2 hours
Peak: 8 hours
Duration: 16 hours

✔✔Long-Acting Insulin - ✔✔glargine (Lantus)
detemir (Levemir)

✔✔Long-Acting Insulin

Onset?
Peak?
Duration? - ✔✔-Onset: 1-2 hrs
-Peak: None
-Duration: 24 hrs

-DO NOT MIX!

✔✔Hypoglycemic 15/15 Rule - ✔✔Low BS
Give 15 grams of glucose/simple carb
Recheck BS in 15 minutes (if less than 70 repeat)

✔✔When educating a type 1 DM, what is a large priority? - ✔✔the risk of hypoglycemia