Nursing Implementations
Give this one a try later!
Acute Illness, Injury, Surgery
Increase Blood glucose level secondary to counterregulatory hormones.
Frequent monitoring of blood glucose
-ketone testing if glucose level exceeds 240 mL
-report glucose levels exceeding 300 mg/dL for two tests or moderate to
high ketone levels
, Increase insulin for type 1 diabetes
Type 2 diabetes may necessitate insulin therapy
Drug class #6
Dipeptidyl Peptidase-4 (DDP-4) Inhibitor
Give this one a try later!
Blocks inactivation of incretin hormones
-increase insulin
-decrease glucagon secretion
-decrease hepatic glucose production
Precipitating factors of DKA
Give this one a try later!
Illness
Infection
Inadequate insulin dosage
Undiagnosed type 1 diabetes
Poor self-management
Neglect
What is Insulin categorized by?
Give this one a try later!
, Onset, Peak, and Duration
DKA procedures:
1.
2.
3.
4.
Give this one a try later!
1. Ensure pt airway, administer O2
2. Establish IV access, begin fluid resuscitation
-NaCL, 0.45% or 0.9% (restore urine output to 30 to 60 mL/hr and raise
blood pressure)
-Add 5% to 10% DEXTROSE when blood glucose level approaches 250
mg/dL
3. Start continuous REGULAR insulin drip, 0.1 U/kg/hr
IV insulin therapy is directed toward correcting hyperglycemia and
hyperketonemia
4. Potassium replacement as needed
Insulin allows water and potassium to enter the cell along with glucose and
can lead to a depletion of vascular volume and hypokalemia
What two types of insulin are Basal (background) insulin ?
Give this one a try later!
Long-acting
Intermediate-acting
, When should intermediate or long-acting (basal) background insulin be given?
Give this one a try later!
once or twice a day
List the 5 symptoms of Metabolic Syndrome
Give this one a try later!
1. Elevated glucose levels
2. Abdominal Obesity
3. Elevated BP
4. High levels of triglycerides
5. Decreased levels of HDLs
DM are the leading causes of what?
Give this one a try later!
Adult blindness
End-stage kidney disease
Nontraumatic lower limb amputations
How should diabetes exercise?
Give this one a try later!
Give this one a try later!
Acute Illness, Injury, Surgery
Increase Blood glucose level secondary to counterregulatory hormones.
Frequent monitoring of blood glucose
-ketone testing if glucose level exceeds 240 mL
-report glucose levels exceeding 300 mg/dL for two tests or moderate to
high ketone levels
, Increase insulin for type 1 diabetes
Type 2 diabetes may necessitate insulin therapy
Drug class #6
Dipeptidyl Peptidase-4 (DDP-4) Inhibitor
Give this one a try later!
Blocks inactivation of incretin hormones
-increase insulin
-decrease glucagon secretion
-decrease hepatic glucose production
Precipitating factors of DKA
Give this one a try later!
Illness
Infection
Inadequate insulin dosage
Undiagnosed type 1 diabetes
Poor self-management
Neglect
What is Insulin categorized by?
Give this one a try later!
, Onset, Peak, and Duration
DKA procedures:
1.
2.
3.
4.
Give this one a try later!
1. Ensure pt airway, administer O2
2. Establish IV access, begin fluid resuscitation
-NaCL, 0.45% or 0.9% (restore urine output to 30 to 60 mL/hr and raise
blood pressure)
-Add 5% to 10% DEXTROSE when blood glucose level approaches 250
mg/dL
3. Start continuous REGULAR insulin drip, 0.1 U/kg/hr
IV insulin therapy is directed toward correcting hyperglycemia and
hyperketonemia
4. Potassium replacement as needed
Insulin allows water and potassium to enter the cell along with glucose and
can lead to a depletion of vascular volume and hypokalemia
What two types of insulin are Basal (background) insulin ?
Give this one a try later!
Long-acting
Intermediate-acting
, When should intermediate or long-acting (basal) background insulin be given?
Give this one a try later!
once or twice a day
List the 5 symptoms of Metabolic Syndrome
Give this one a try later!
1. Elevated glucose levels
2. Abdominal Obesity
3. Elevated BP
4. High levels of triglycerides
5. Decreased levels of HDLs
DM are the leading causes of what?
Give this one a try later!
Adult blindness
End-stage kidney disease
Nontraumatic lower limb amputations
How should diabetes exercise?
Give this one a try later!
