NUR 170 EXAM 3 FROM STUDY GUIDE
R.F. for Type 2 Diabetes - Answer-obesity
physical inactivity
hypertension
hypoglycemia s/s - Answer-weakness, fatigue, difficulty thinking, confusion, behavior changes,
emotional instability, seizures, loss of consciousness, brain damage, death, shaky, heart pounding,
anxious, sweaty, hungry, tingling
hyperglycemia s/s - Answer-warm, moist skin, dehydration, rapid deep breathing, fruity breath, mental
status varies, abdominal cramps, n/v, orthostatic hypotension, turgor, ketones positive
Key teachings for insulin - Answer-insulin types, injection technique, site of injection, pt response all
affect absorption, onset, degree, and duration of insulin activity
changing insulins can affect B.G.
how to adjust insulin doses, understand nutrition therapy, and monitor blood glucose levels accurately.
must adhere to insulin schedule
dont mix any other insulins with premixed
refrigerate insulin , always have spare bottle, store prefilled syringes upward, roll dont shake prefilled
,SubQ insulin administation rule - Answer-pull the need straight out quickly
what does a diabetic patient need to know before excercising? - Answer-wear appropriate footwear
don't excercise within 1 hour of insulin injection or near peak time of insulin
dont excercise unless blood glucose is at least 80 and less than 250
Advice to patient who diabetes - Answer-make sure they have appropriate footwear
tip for diabetes patients on days they excercise - Answer-check glucose levels more frequently on days
of excercise, extra carbs, less sodium may be needed during 24 hours after extensive crisis
what are the sick day rules? - Answer-continue to take insult, drink 8-12 oz sugar free liquids every hour
awake
what does the pt with diabetes need to know RE foot care? - Answer-be able to assess the foot for
abnormal skin or nail conditions:
dry, cracked, fissure skin, ulcers, toenails: thickened, long, ingrown; tinea pedis; onychmycosis (mycotic
nails)
Assess the diabetic foot pt for - Answer-circulation; make sure shoots fit properly and are still providing
adequate circulation
Education to the patient for diabetic foot care - Answer-- inspect feet daily
, -apply moisturizing cream daily BUT NOT BETWEEN TOES
-do NOT wear same pair of shoes 2 days in a role
- purchase shoes that have plenty of room for your toes. buy shoes LATER IN THE DAY when feet are
normally larger,break in new shoes gradually
-See Dr. immediately if have blisters, sores, or infections
- do NOT step into bath tub without checking the temp. of the water with wrist or thermometer. optimal
temp: 95; max temp: 110
-NEVER use hot water bottles, heating pads, or portable heaters to warm feel
-NEVER go barefoot
-do NOT soak feel
Treatment options for severe HYPOglycemia - Answer-severe hypoglycemia: (unable to swallow,
convulsing, glucose less than 20)---- give GLUCAGON 1 mg SubQ or IM, repeat in 10 min if do not wake
up, notify MD IMMEDIATELY
mild hypoglycemia treatments at home - Answer-mild hypoglycemia (hungry, irritable, shaky, weak,
headache, blood sugar less than 60)
treat with 10-15 g of Carbs
retest in 15 mins, repeat if symptoms do NOT resolve, eat small snack of carb and protein if next meal is
an hour away
R.F. for Type 2 Diabetes - Answer-obesity
physical inactivity
hypertension
hypoglycemia s/s - Answer-weakness, fatigue, difficulty thinking, confusion, behavior changes,
emotional instability, seizures, loss of consciousness, brain damage, death, shaky, heart pounding,
anxious, sweaty, hungry, tingling
hyperglycemia s/s - Answer-warm, moist skin, dehydration, rapid deep breathing, fruity breath, mental
status varies, abdominal cramps, n/v, orthostatic hypotension, turgor, ketones positive
Key teachings for insulin - Answer-insulin types, injection technique, site of injection, pt response all
affect absorption, onset, degree, and duration of insulin activity
changing insulins can affect B.G.
how to adjust insulin doses, understand nutrition therapy, and monitor blood glucose levels accurately.
must adhere to insulin schedule
dont mix any other insulins with premixed
refrigerate insulin , always have spare bottle, store prefilled syringes upward, roll dont shake prefilled
,SubQ insulin administation rule - Answer-pull the need straight out quickly
what does a diabetic patient need to know before excercising? - Answer-wear appropriate footwear
don't excercise within 1 hour of insulin injection or near peak time of insulin
dont excercise unless blood glucose is at least 80 and less than 250
Advice to patient who diabetes - Answer-make sure they have appropriate footwear
tip for diabetes patients on days they excercise - Answer-check glucose levels more frequently on days
of excercise, extra carbs, less sodium may be needed during 24 hours after extensive crisis
what are the sick day rules? - Answer-continue to take insult, drink 8-12 oz sugar free liquids every hour
awake
what does the pt with diabetes need to know RE foot care? - Answer-be able to assess the foot for
abnormal skin or nail conditions:
dry, cracked, fissure skin, ulcers, toenails: thickened, long, ingrown; tinea pedis; onychmycosis (mycotic
nails)
Assess the diabetic foot pt for - Answer-circulation; make sure shoots fit properly and are still providing
adequate circulation
Education to the patient for diabetic foot care - Answer-- inspect feet daily
, -apply moisturizing cream daily BUT NOT BETWEEN TOES
-do NOT wear same pair of shoes 2 days in a role
- purchase shoes that have plenty of room for your toes. buy shoes LATER IN THE DAY when feet are
normally larger,break in new shoes gradually
-See Dr. immediately if have blisters, sores, or infections
- do NOT step into bath tub without checking the temp. of the water with wrist or thermometer. optimal
temp: 95; max temp: 110
-NEVER use hot water bottles, heating pads, or portable heaters to warm feel
-NEVER go barefoot
-do NOT soak feel
Treatment options for severe HYPOglycemia - Answer-severe hypoglycemia: (unable to swallow,
convulsing, glucose less than 20)---- give GLUCAGON 1 mg SubQ or IM, repeat in 10 min if do not wake
up, notify MD IMMEDIATELY
mild hypoglycemia treatments at home - Answer-mild hypoglycemia (hungry, irritable, shaky, weak,
headache, blood sugar less than 60)
treat with 10-15 g of Carbs
retest in 15 mins, repeat if symptoms do NOT resolve, eat small snack of carb and protein if next meal is
an hour away
