Exam 4:NSG 3600: Exam 4 NSG 3600 (Neurological or Cognitive Problems)Updated Solution: Guaranteed A+ Score Guide

Type 1 Diabetes: ● Autoimmune disease (destruction of pancreatic cells that produce insulin) ● S/S: ○ 3 P’s → Polyuria, Polydipsia, Polyphagia ○ Weight loss ○ Nocturia ○ Fatigue ● Diagnosis: ○ Blood glucose in excess of 200 mg/dL ○ HgBA1c (7-7.5%) fasting blood sugar may be 126 mg/dL ● Management: ○ Hypoglycemia: too much time between meals, eating too little, insulin goes in muscle and not subcutaneous tissue ■ (give 10-15 skittles or candies, check again in 15 minutes if it's greater than 80 give bigger snack like peanut butter crackers) at highest risk for hypoglycemia when their insulin peaks ○ Hyperglycemia: too little insulin for the food they ate, too many carbs eaten, meals too close together, if insulin is given under the skin ■ (give insulin and increase fluids) ○ Monitor ketones every three hours or every time you void (check if over 140) ● Education: ○ Blood glucose monitoring (check before meals and exercise) ■ Should have physical activity every day. ■ Check blood glucose before, during and after. ■ Adjust carb intake based off exercise plan they are following ○ Insulin administration ■ Nutritional choices (dietician) ■ Developmental considerations