NUR2392 MDC 2 FINAL EXAM STUDY GUIDE LATEST UPDATE 2021/2022 GRAD
S S S S S S S S S S
ED A+
S
– Care of Patients with Diabetes Mellitus
S S S S S S
NUR2392 MDC 2 FINAL EXAM STUDY GUIDE LATEST UPDATE 2021/2022 GRAD
S S S S S S S S S S
ED A+
S
,NUR2392 MDC 2 FINAL EXAM STUDY GUIDE LATEST UPDATE 2021/2022 GRAD
S S S S S S S S S S
ED A+
S
● S/S: 3 Ps (polydipsia, polyphagia, polyuria), ketones, fruity breath, Kussmaul’s res
S S S S S S S S S S
.
o Polydipsia: increased thirst as the cells are dehydrated and thirst
S S S S S S S S S
y as a result ofnot enough fluids
S S S S S S S
o Polyphagia: increased hunger as the cells are starved of nutrient
S S S S S S S S S
s as a result ofnot getting insulin and glucose into the cells.
S S S S S S S S S S S S
o Polyuria: the patient has increased urination S S S S S
o Ketones: present when the body needs to get energy from fat as
S S S S S S S S S S S S
the glucose cells do not work. Causes the byproduct to be increa
S S S S S S S S S S S
sed and ketones to presentin the urine.
S S S S S S S
o Acetone Fruity Breath: with DKA as a result of getting increased a
S S S S S S S S S S S
mounts of acidout of the body
S S S S S S
o Kussmaul's respirations: increased and deep ventilations hen the
S S S S S S S S
diabetic patienttries to breathe off excess acid in the body from in
S S S S S S S S S S S S
creased hydrogen ions in metabolic acidosis.
S S S S S
● S/S of hypoglycemia vs. hyperglycemia
S S S S
Hypoglycemia - S Hyperglycemia - S
S cold and clammy needscandy
S S S S hot and dry, sugar high
S S S S S
NUR2392 MDC 2 FINAL EXAM STUDY GUIDE LATEST UPDATE 2021/2022 GRAD
S S S S S S S S S S
ED A+
S
,NUR2392 MDC 2 FINAL EXAM STUDY GUIDE LATEST UPDATE 2021/2022 GRAD
S S S S S S S S S S
ED A+
S
● From a BG level less than 70
S S S S S S ● FromSaSBGSlevelSthatSisSabov
● S/S: e 110
S
○ Sweating ● S/S:
○ Pallor o DrySmouth
○ Irritability o FlushedSskin
○ Hunger o Polydipsia
○ Lack of CoordinationS S o Polyuria
○ Fatigue o Polyphagia
○ Cold o Weakness
● Emergency as if sugar is no S S S S S o Headache
t therethe cells can die.
S S S S S o BlurrySVision
o Rule of 15: occurs for patients in hypoglycemia. If the patient che
S S S S S S S S S S S
cks their BG level and it is less than 70, the nurse should give the p
S S S S S S S S S S S S S S S
atient 15 g of a carb to eator D50 if NPO and retest the sugar in 15
S S S S S S S S S S S S S S S S S S
mins. If rechecked, and BG level is still below 70, give the patient
S S S S S S S S S S S S S
another 15 g of carbs or D50 and recheck and call the provider. If
S S S S S S S S S S S S S S
still too low on the tired check, give D50 and call the provider and
S S S S S S S S S S S S S S
often RRT. S
● DKA Vs HHS
S S
DKA - Diabetic Ketoacidosis
S S S HHS-
NUR2392 MDC 2 FINAL EXAM STUDY GUIDE LATEST UPDATE 2021/2022 GRAD
S S S S S S S S S S
ED A+
S
, NUR2392 MDC 2 FINAL EXAM STUDY GUIDE LATEST UPDATE 2021/2022 GRAD
S S S S S S S S S S
ED A+
S
S Hyperosmolar HyperglycemicNon S S
ketotic Syndrome
S
● Type 1 Diabetics
S S ● Type 2 Diabetics
S S
● From a failure to take insuli
S S S S S ● From extreme hyperglyce
S S
n or increase insulin usage
S S S S S mia andhyperosmolarity
S S
due to stress, illness, confu
S S S S ● If not treated, death can occu
S S S S S
sion, or if they
S S S r
NUR2392 MDC 2 FINAL EXAM STUDY GUIDE LATEST UPDATE 2021/2022 GRAD
S S S S S S S S S S
ED A+
S
S S S S S S S S S S
ED A+
S
– Care of Patients with Diabetes Mellitus
S S S S S S
NUR2392 MDC 2 FINAL EXAM STUDY GUIDE LATEST UPDATE 2021/2022 GRAD
S S S S S S S S S S
ED A+
S
,NUR2392 MDC 2 FINAL EXAM STUDY GUIDE LATEST UPDATE 2021/2022 GRAD
S S S S S S S S S S
ED A+
S
● S/S: 3 Ps (polydipsia, polyphagia, polyuria), ketones, fruity breath, Kussmaul’s res
S S S S S S S S S S
.
o Polydipsia: increased thirst as the cells are dehydrated and thirst
S S S S S S S S S
y as a result ofnot enough fluids
S S S S S S S
o Polyphagia: increased hunger as the cells are starved of nutrient
S S S S S S S S S
s as a result ofnot getting insulin and glucose into the cells.
S S S S S S S S S S S S
o Polyuria: the patient has increased urination S S S S S
o Ketones: present when the body needs to get energy from fat as
S S S S S S S S S S S S
the glucose cells do not work. Causes the byproduct to be increa
S S S S S S S S S S S
sed and ketones to presentin the urine.
S S S S S S S
o Acetone Fruity Breath: with DKA as a result of getting increased a
S S S S S S S S S S S
mounts of acidout of the body
S S S S S S
o Kussmaul's respirations: increased and deep ventilations hen the
S S S S S S S S
diabetic patienttries to breathe off excess acid in the body from in
S S S S S S S S S S S S
creased hydrogen ions in metabolic acidosis.
S S S S S
● S/S of hypoglycemia vs. hyperglycemia
S S S S
Hypoglycemia - S Hyperglycemia - S
S cold and clammy needscandy
S S S S hot and dry, sugar high
S S S S S
NUR2392 MDC 2 FINAL EXAM STUDY GUIDE LATEST UPDATE 2021/2022 GRAD
S S S S S S S S S S
ED A+
S
,NUR2392 MDC 2 FINAL EXAM STUDY GUIDE LATEST UPDATE 2021/2022 GRAD
S S S S S S S S S S
ED A+
S
● From a BG level less than 70
S S S S S S ● FromSaSBGSlevelSthatSisSabov
● S/S: e 110
S
○ Sweating ● S/S:
○ Pallor o DrySmouth
○ Irritability o FlushedSskin
○ Hunger o Polydipsia
○ Lack of CoordinationS S o Polyuria
○ Fatigue o Polyphagia
○ Cold o Weakness
● Emergency as if sugar is no S S S S S o Headache
t therethe cells can die.
S S S S S o BlurrySVision
o Rule of 15: occurs for patients in hypoglycemia. If the patient che
S S S S S S S S S S S
cks their BG level and it is less than 70, the nurse should give the p
S S S S S S S S S S S S S S S
atient 15 g of a carb to eator D50 if NPO and retest the sugar in 15
S S S S S S S S S S S S S S S S S S
mins. If rechecked, and BG level is still below 70, give the patient
S S S S S S S S S S S S S
another 15 g of carbs or D50 and recheck and call the provider. If
S S S S S S S S S S S S S S
still too low on the tired check, give D50 and call the provider and
S S S S S S S S S S S S S S
often RRT. S
● DKA Vs HHS
S S
DKA - Diabetic Ketoacidosis
S S S HHS-
NUR2392 MDC 2 FINAL EXAM STUDY GUIDE LATEST UPDATE 2021/2022 GRAD
S S S S S S S S S S
ED A+
S
, NUR2392 MDC 2 FINAL EXAM STUDY GUIDE LATEST UPDATE 2021/2022 GRAD
S S S S S S S S S S
ED A+
S
S Hyperosmolar HyperglycemicNon S S
ketotic Syndrome
S
● Type 1 Diabetics
S S ● Type 2 Diabetics
S S
● From a failure to take insuli
S S S S S ● From extreme hyperglyce
S S
n or increase insulin usage
S S S S S mia andhyperosmolarity
S S
due to stress, illness, confu
S S S S ● If not treated, death can occu
S S S S S
sion, or if they
S S S r
NUR2392 MDC 2 FINAL EXAM STUDY GUIDE LATEST UPDATE 2021/2022 GRAD
S S S S S S S S S S
ED A+
S
