congenital hypothyroidism ________________ ________________ is caused by a
spontaneous gene mutation or failure of the CNS-thyroid feedback mechanism to develop
1 type ________________ diabetes is caused by a deficiency of insulin secretion due to
pancreatic B-cell damage
2 type ________________ diabetes is a consequence of insulin resistance that occurs at the
level of skeletal muscle, liver, and adipose tissue with different degrees of B-cell impairment
1 toxins and viruses can predispose a child to diabetes by destroying the beta cells, leading
to type ________________ DM
2 obesity, physical inactivity, high triglycerides (greater than 250 mg/dl), & HTN can lead to
insulin resistance and type ________________ DM
250 obesity, physical inactivity, high triglycerides (greater than ________________ mg/dl),
& HTN can lead to insulin resistance and type 2 DM
70
110 normal blood sugar for children is ________________-________________ mg/dL
levothyroxine ________________ is the drug of choice for pediatric hypothyroidism starting
at 10-15 mcg/kg per day
hypothyroidism levothyroxine is the drug of choice for pediatric ________________ starting
at 10-15 mcg/kg per day
,10
15 levothyroxine is the drug of choice for pediatric hypothyroidism starting at
________________-________________ mcg/kg per day
euthyroid dose of levothyroxine is increased to ensure ________________ state
30
60 take levothyroxine ________________-________________ minutes before meals for
optimal absorption
sleep disturbances
behavioral changes advise parents that child taking levothyroxine may experience
temporary ________________ ________________ or ________________ ________________
in response to medication therapy
rapid acting insulin lispro is a ________________-________________ insulin
15 rapid-acting insulin has an onset of ________________ min
30
90 rapid-acting insulin peaks at ________________-________________ min
3
6 rapid-acting insulin has a duration of ________________-________________ hr
short acting regular insulin is a ________________-________________ insulin
,30
1 short-acting insulin has an onset of ________________ min - ________________ hr
1
5 short-acting insulin peaks at ________________-________________ hr
6
10 short-acting insulin has a duration of ________________-________________ hr
intermediate acting NPH insulin is an ________________-________________ insulin
1
2 intermediate-acting insulin has an onset of ________________-________________ hr
6
14 intermediate-acting insulin has a peak of ________________-________________ hr
16
24 intermediate-acting insulin has a duration of ________________-________________ hr
long acting insulin glargine U-100 is a ________________-________________ insulin
70 long-acting insulin has an onset of ________________ min
no long-acting insulin has ________________ peak
, 18
24 long-acting insulin has a duration of ________________-________________ hr
diabetic ketoacidosis ________________ ________________ is an acute, life threatening
condition characterized by hyperglycemia (greater than 330 mg/dL), glycosuria, and acidosis
(pH 7.30 and bicarbonate 15 mmol/L)
diabetic ketoacidosis ________________ ________________ results in the breakdown of
body fat for energy and an accumulation of ketones from the blood, urine and lungs
330
7.3
15 diabetic ketoacidosis is an acute, life threatening condition characterized by
hyperglycemia (greater than ________________ mg/dL), glycosuria, and acidosis (pH
________________ and bicarbonate ________________ mmol/L)
regular administer ________________ insulin for diabetic ketoacidosis
potassium when a child is receiving insulin therapy for diabetic ketoacidosis,
________________ needs to be monitored because it will shift into cells
sodium bicarbonate administer ________________ ________________ by slow IV infusion
for severe acidosis (pH less than 7.0) related to diabetic ketoacidosis
7.0 administer sodium bicarbonate by slow IV infusion for sever acidosis (pH less than
________________) related to diabetic ketoacidosis