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Graded A+
diabetes mellitus [ Ans: ] diabetes caused by a relative or
absolute deficiency of insulin and characterized by
polyuria
hypoglycemic reaction [ Ans: ] or (insulin shock), may
result during medication peak or when more medication
was administered than needed for glucose metabolism.
tachycardia, confusion, sweating and drowsiness, cool,
pale, moist skin, slurred speech, headache
insulin [ Ans: ] A hormone secreted by pancreatic beta
cells that lowers blood glucose levels. It promotes the
uptake of glucose by most body cells and the synthesis
and storage of glycogen in the liver and also stimulates
protein and fat synthesis.
insulin-dependent diabetes mellitus (IDDM) [ Ans: ] Also
called type 1 diabetes mellitus; tends to develop early in
life; pancreas stops producing insulin; can be autoimmune
disease; patient must take insulin injections
insulin shock [ Ans: ] the result of too much insulin which
causes a dangerous drop in blood glucose and possible
coma
ketoacidosis [ Ans: ] High levels of acids (ketones) in the
blood; occurring in diabetes mellitus (type 2) when cells
,burn high levels of fats (producing ketones) because sugar
is not available as fuel.
lipodystrophy [ Ans: ] atrophy of subcutaneous tissue and
may occur if the same injection site is used too
frequently; prevented by rotation of injection sites
non-insulin-dependent diabetes mellitus (NIDDM) [ Ans: ]
type II diabetes: metabolic disorder caused by insulin
resistance, insulin deficiency and hyperglycemia. 90%
cases were preventable
oral antidiabetic drugs [ Ans: ] Used to treat patients with
type 2 diabetes that is not controlled by diet and exercise
alone. Not effective for treating type I diabetes. Types of
oral antidiabetic drugs (sulfonylureas, biguanides,
alpha(a)-glucosidase inhibitors, menglitinides,
thiazolidinediones.
oral hypoglycemic drugs [ Ans: ] Used to treat patients
with type 2 diabetes that is not controlled by diet and
exercise alone. Not effective for treating type I diabetes.
Types of oral antidiabetic drugs (sulfonylureas,
biguanides, alpha(a)-glucosidase inhibitors, menglitinides,
thiazolidinediones.
polydipsia [ Ans: ] excessive thirst (as in cases of diabetes
or kidney dysfunction)
polyphagia [ Ans: ] excessive hunger and eating
polyuria [ Ans: ] excessive production of urine
, type 1 diabetes mellitus [ Ans: ] diabetes in which no beta-
cell production of insulin occurs and the patient is
dependent on insulin for survival
type 2 diabetes mellitus [ Ans: ] diabetes in which the
body produces insulin, but not enough, or there is insulin
resistance (a defective use of the insulin that is produced)-
-the patient usually is not dependent on insulin for
survival
Q: A client is diagnosed with type 2 diabetes mellitus.
Which statement is true about this condition? [ Ans: ] A:
Heredity is a major causative factor
Q: Antidiabetic drugs are designed to control S&S of
diabetes mellitus. The nurse expects a decrease in what? [
Ans: ] A: Blood glucose
Q: A client is to receive insulin before breakfast and the
time of the tray delivery is variable. Which insulin should
not be administered until the breakfast tray has arrived
and the client is ready to eat? [ Ans: ] A: lispro (Humalog)
Q: A client is receiving a daily dose of Humulin N insulin
at 0730. The nurse expects the peak effect of this drug to
occur at which time? [ Ans: ] A: 1700
Q: A client is prescribed glipizide (Glucotrol) and the
nurse knows to expect which side/adverse effects? [ Ans: ]
A: (1) Tachycardia
(2) Visual disturbances