SOLVED-|Eloborated|-NURS 4010 Exam 2 latest for 2023 Questions and Answers

SOLVED-|Eloborated|-NURS 4010 Exam 2 latest for 2023 Questions and Answers Drug Related (Most common): Excessive dose of insulin or oral antidiabetic agent Change in medication regimen Potentiating effects of medications or drugs (e.g., propranolol and alcohol) Lifestyle Related: Consumption of too little food High activity levels Critical-Illness Related: Hormonal deficiencies (e.g., cortisol, glucagon, epinephrine) Kidney, liver, or heart failure Sepsis - Q&AWhat are some factors that cause hypoglycemia? (3 categories, 8 factors) 70mg/dL - Q&AMild hypoglycemia has a serum blood glucose of... 40-69mg/dL - Q&AModerate hypoglycemia has a serum blood glucose of... 40mg/dL - Q&ASevere hypoglycemia has a serum blood glucose of... tachycardia - Q&AWould you expect someones' HR with hypoglycemia to be tachy/brady/normal? mild hypoglycemia - Q&APallor ( pale) Diaphoresis Tachycardia Palpitations Hunger Paresthesia's moderate hypoglycemia (40-69mg/dL) - Q&Amainly symptoms are: Inability to concentrate Confusion Slurred speech Irrational behavior Slower reaction time Blurred vision Somnolence Extreme fatigue neuroplenia - Q&Athe neurons of the brain are affected, therefore the reason for the symptoms like concentration slower reactions confusion. (seen in hypoglycemia) SEVERE HYPOGLYCEMIA (40 mg/dL ) - Q&Aonset of symptoms rapid Associated with severe impairment of neurologic function Completely disoriented behavior LOC Coma Seizures Death Dextrose - 50mL of 50% dextrose IV bolus after blood draw followed by 10% dextrose Glucagon - 1-2mg IM or sq can be given These measures raise blood glucose only transiently Patient is urged to eat as soon as possible - Q&AHow does the nurse treat moderate to severe hypoglycemia? position them on their side to prevent aspiration - Q&AIf someone becomes unconscious due to hypoglycemia, what should the nurse do? get blood glucose level + initiate IV access - Q&AWhat are two nursing actions (think ABC's) to start treatment for someone who is hypoglycemic in the hospital? 1. oral glucose replacement 2. check ABC's and STAT blood glucose 3. IV dextrose or glucagon IM - check BG after 15min - Q&AHow would you treat these hypoglycemic pt.'s differently? 1. Alert 2. Acute onset of mental alterations 3. Unconscious