DM: Hypo Collab Care
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Check BG, conscious person give simple carb, follow with meal/snack,
unconscious person: glucagon 1 mg, subq or IM or glucose 50% IV
(supertonic, must go directly in vein due to possible necrosis, trained)
,DM: Diagnosing
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HgA1C 6.5% or greater
DM: Nephropathy
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-glomerulus damaged via hyperglycemia, High renal BF, HP w/in
glomerulus.
-Progressive decrease in glomerular blood flow occurs
- permeability changes, albumin/protein spills into urine
-Yearly testing for microalbuminuria
DM: Goals of Care
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Reduce symptoms, promote well-being, prevent complications, delay
progression, control bg
CKD: HD: End of Life Issues
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, - Quality of Life (QOL)
- Palliative Care
- Hospice
- Advanced Directives
Thrombolytic Agents
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Used with new, large clots, dissolve clots, high risk for hemorrhage,
catheter guided
ABG: Process
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Step Three: Assess HCO3
if the pH & the HCO3 are moving in the same direction = metabolic
Step Four: Assess pO2 - oxygenation status
< 80 mmHg indicates hypoxemia
DM: DKA Patho
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3 metabolic alterations: hyperglycemia, ketosis, & metabolic acidosis
, Extravasation (Type of Infiltration)
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-Pain at IV site
-Blanching of area
-Burning at insertion site
-Blisters
-Palpable cord along vein
Calcium
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9-11 MG
Glycosylated Hemoglobin
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Measures control of bg over a period of 90 - 120 days, amt of glucose
attached of hemoglobin molecule, expressed as %
Complications
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Give this one a try later!
Check BG, conscious person give simple carb, follow with meal/snack,
unconscious person: glucagon 1 mg, subq or IM or glucose 50% IV
(supertonic, must go directly in vein due to possible necrosis, trained)
,DM: Diagnosing
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HgA1C 6.5% or greater
DM: Nephropathy
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-glomerulus damaged via hyperglycemia, High renal BF, HP w/in
glomerulus.
-Progressive decrease in glomerular blood flow occurs
- permeability changes, albumin/protein spills into urine
-Yearly testing for microalbuminuria
DM: Goals of Care
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Reduce symptoms, promote well-being, prevent complications, delay
progression, control bg
CKD: HD: End of Life Issues
Give this one a try later!
, - Quality of Life (QOL)
- Palliative Care
- Hospice
- Advanced Directives
Thrombolytic Agents
Give this one a try later!
Used with new, large clots, dissolve clots, high risk for hemorrhage,
catheter guided
ABG: Process
Give this one a try later!
Step Three: Assess HCO3
if the pH & the HCO3 are moving in the same direction = metabolic
Step Four: Assess pO2 - oxygenation status
< 80 mmHg indicates hypoxemia
DM: DKA Patho
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3 metabolic alterations: hyperglycemia, ketosis, & metabolic acidosis
, Extravasation (Type of Infiltration)
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-Pain at IV site
-Blanching of area
-Burning at insertion site
-Blisters
-Palpable cord along vein
Calcium
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9-11 MG
Glycosylated Hemoglobin
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Measures control of bg over a period of 90 - 120 days, amt of glucose
attached of hemoglobin molecule, expressed as %
Complications
Give this one a try later!
