Hondros Nur 176 Exam 1 Study Guide 2024 Top Graded

Interventions to prevent diabetes Maintain healthy weight, diet and exercise Signs of type 1 diabetes 3 polys, blurred vision, cold feet, numbness, shiny thin skin w/ no hair, age 30 and under, sudden onset, underweight, Signs of type 2 diabetes No symptoms at first , later develop the 3 polys, obesity, Nigricans (black line on back of neck) skin tags S/S of hypoglycemia Fatigue, weakness, irritability, reduce cognition, tremors, seizures, diaphoresis( sweating) S/S of hyperglycemia 3 polys, fruity breath S/S of diabetic ketoacidosis and treatment High BS, high HR, restlessness, weight loss, fruity breath, kussmaul(fast deep RR) -- treatments; IV regular insulin First intervention if a pt. Presents with s/s of hypo/hyperglycemia Check blood sugar Prevention of long term complications of diabetes Takes meds, daily feet care, yearly renal test, eye exams every 6 months, LDL less than 150 Dietary teaching for a diabetic patient Meals at the same time every day, decrease saturated fats, increase exercise , refer pt. To MyPlate learning tool, Diabetic Pt. should never increase carbs unless... Sugar is low before exercising Discharge teaching for diabetic pt. Know hypo/hyperglycemia s/s, know that stress and illness increase BS , see a diabetic educator, know what the effect of Exercise can have on Bs Diabetic foot care Clean w/ soap and warm water, clean socks everyday, cut toe nails straight across, keep feet dry, no powder or lotion b/t toes , wear shoes , inspect feet daily, no gardners Lipid analysis LDL-less than 100 HDL- more than 40 Triglycerides- more than 150 What are low and high levels of HDL indicative of High- insulin resistance, low- insulin sensitivity What insulins can not be mixed? Levemir and Lantus ( detemir and glargine ) How to mix insulin Short acting to long acting, regular to NPH, Clear to cloudy Should a nurse hold a patients insulin before consulting a dr? No No insulin, beta cells are destroyed is a result of ? Diabetes type 1 Beta cells exhaustion , insulin resistance is a result of ? Diabetes type 2 Rapid acting insulin Lispro(Humalog) aspart(Novolog) glulisine(Apidra)