NUR 212 Exam 3 FINAL (Hondros)
Diabetes Risk Factors
Obesity, sedentary way of life, circle of relatives history, ethnicity (African American, Hispanic,
Native American), high blood pressure, excessive ldl cholesterol.
Signs of Diabetes
Polyuria, polydipsia, polyphagia, fatigue, weight loss (Type 1), blurred vision, gradual-recovery
wounds, recurrent infections.
DKA Signs and Symptoms
Fruity breath, Kussmaul respirations, polyuria, polydipsia, dehydration, stomach pain,
nausea/vomiting, confusion, blood glucose >300 mg/dL.
HHS Signs and Symptoms
Severe dehydration, confusion, lethargy, blood glucose >six hundred mg/dL, no ketones,
polydipsia, hypernatremia.
Insulin Peak Times
Rapid-acting (30-ninety min), Short-performing (2-5 hrs), Intermediate-appearing (four-12 hrs),
Long-performing (minimal/no peak).
Insulin Onset and Duration
Rapid-performing (onset 10-30 min, duration three-five hrs), Short-acting (onset 30-60 min,
duration five-8 hrs), Intermediate-acting (onset 1-2 hrs, period 12-18 hrs), Long-performing
(onset 1-4 hrs, period 24 hrs).
Complications of Diabetes
Retinopathy, nephropathy, neuropathy, cardiovascular disorder, peripheral vascular disorder.
Nursing Interventions for DKA
Administer IV fluids (0.Nine% NS or zero.45% NS), insulin drip, monitor blood glucose,
potassium substitute, monitor ABGs and electrolytes.
,Nursing Interventions for HHS
Administer IV fluids, insulin drip, reveal serum electrolytes (potassium), reveal for cardiac
dysrhythmias, make certain ok hydration.
Patient Education for Diabetes
Monitor blood glucose frequently, apprehend symptoms of hypo/hyperglycemia, follow a
balanced weight-reduction plan, exercise often, adhere to medicinal drug routine.
Cushing's Disease Signs and Symptoms
Moon face, buffalo hump, truncal weight problems, purple striae, skinny pores and skin,
hypertension, hyperglycemia, muscle weakness, osteoporosis.
Addison's Disease Signs and Symptoms
Fatigue, weight loss, hyperpigmentation, hypotension, hyponatremia, hyperkalemia,
hypoglycemia, salt cravings.
Hypothyroidism Signs and Symptoms
Fatigue, weight advantage, cold intolerance, bradycardia, constipation, dry pores and skin, hair
thinning, depression.
Hyperthyroidism Signs and Symptoms
Weight loss, warmth intolerance, tachycardia, tremors, insomnia, exophthalmos, goiter.
Thyroid Storm Signs and Symptoms
Severe tachycardia, hyperthermia (as much as 106°F), agitation, delirium, seizures, belly ache,
vomiting, diarrhea, shock.
Thyroid Storm Nursing Interventions
Administer antithyroid medicines (PTU, methimazole), iodine answer, beta-blockers, IV fluids,
cooling blankets, oxygen remedy, and control electrolytes.
Cushing's Disease Nursing Interventions for Infection
Monitor for signs and symptoms of infection, make certain hand hygiene, restrict publicity to ill
individuals, and train on right wound care.
,Addisonian Crisis Signs and Symptoms
Severe hypotension, tachycardia, dehydration, hyperkalemia, hyponatremia, hypoglycemia,
confusion, and shock.
Addisonian Crisis Nursing Interventions
Administer IV hydrocortisone, speedy IV fluids (zero.Nine% saline and dextrose), display
essential symptoms, control electrolytes, and provide glucose assist.
Myxedema Coma Signs and Symptoms
Hypothermia, bradycardia, hypotension, hypoventilation, altered intellectual popularity, and
generalized edema.
Myxedema Coma Nursing Interventions
Administer IV thyroid hormone, warm the patient progressively, reveal crucial signs and
symptoms, manipulate hypoglycemia, and offer ventilatory guide.
Thyroid Storm Patient Education
Adhere to antithyroid medications, keep away from stress and infections, file fever or
palpitations, and attend ordinary thyroid function comply with-ups.
DKA Nursing Interventions for Electrolytes
Monitor potassium stages closely, update potassium as needed, and examine for signs and
symptoms of hypokalemia all through insulin remedy.
HHS Complications and Interventions
Complications encompass severe dehydration and electrolyte imbalances. Interventions
encompass aggressive IV fluid substitute, insulin drip, and close tracking of cardiac popularity.
Metabolic Syndrome Risk Factors
Obesity, sedentary way of life, insulin resistance, high blood pressure, dyslipidemia, and genetic
predisposition.
Metabolic Syndrome Nursing Interventions
Promote weight reduction thru weight-reduction plan and exercising, teach on smoking
cessation, manage blood stress and glucose ranges, and screen lipid profiles.
, Diet for Diabetes
Low glycemic index ingredients, balanced consumption of carbs, proteins, and fats, avoid
sugary drinks, slight alcohol intake, constant meal instances.
Diet for Cushing's Disease
High-protein, low-sodium, excessive-potassium food regimen, avoid foods excessive in sugar.
Diet for Addison's Disease
High-sodium, low-potassium weight loss program at some stage in strain, keep hydration, small
frequent food.
Diet for Hypothyroidism
Low-calorie diet, good enough iodine intake, avoid goitrogens (e.G., soy, cruciferous veggies).
Diet for Hyperthyroidism
High-calorie, excessive-protein eating regimen, avoid caffeine and particularly seasoned foods,
common small meals.
Complications of Hypothyroidism
Myxedema coma, cardiovascular disease, infertility, melancholy.
Complications of Hyperthyroidism
Thyroid hurricane, atrial traumatic inflammation, osteoporosis, weight loss.
Thyroid Storm Causes
Triggered by using pressure, infection, surgical treatment, trauma, or noncompliance with
antithyroid medicines.
Thyroid Storm Diagnostic Findings
Elevated T3 and T4 ranges, decreased TSH, signs and symptoms of hypermetabolism (fever,
tachycardia).
Myxedema Coma Causes
Diabetes Risk Factors
Obesity, sedentary way of life, circle of relatives history, ethnicity (African American, Hispanic,
Native American), high blood pressure, excessive ldl cholesterol.
Signs of Diabetes
Polyuria, polydipsia, polyphagia, fatigue, weight loss (Type 1), blurred vision, gradual-recovery
wounds, recurrent infections.
DKA Signs and Symptoms
Fruity breath, Kussmaul respirations, polyuria, polydipsia, dehydration, stomach pain,
nausea/vomiting, confusion, blood glucose >300 mg/dL.
HHS Signs and Symptoms
Severe dehydration, confusion, lethargy, blood glucose >six hundred mg/dL, no ketones,
polydipsia, hypernatremia.
Insulin Peak Times
Rapid-acting (30-ninety min), Short-performing (2-5 hrs), Intermediate-appearing (four-12 hrs),
Long-performing (minimal/no peak).
Insulin Onset and Duration
Rapid-performing (onset 10-30 min, duration three-five hrs), Short-acting (onset 30-60 min,
duration five-8 hrs), Intermediate-acting (onset 1-2 hrs, period 12-18 hrs), Long-performing
(onset 1-4 hrs, period 24 hrs).
Complications of Diabetes
Retinopathy, nephropathy, neuropathy, cardiovascular disorder, peripheral vascular disorder.
Nursing Interventions for DKA
Administer IV fluids (0.Nine% NS or zero.45% NS), insulin drip, monitor blood glucose,
potassium substitute, monitor ABGs and electrolytes.
,Nursing Interventions for HHS
Administer IV fluids, insulin drip, reveal serum electrolytes (potassium), reveal for cardiac
dysrhythmias, make certain ok hydration.
Patient Education for Diabetes
Monitor blood glucose frequently, apprehend symptoms of hypo/hyperglycemia, follow a
balanced weight-reduction plan, exercise often, adhere to medicinal drug routine.
Cushing's Disease Signs and Symptoms
Moon face, buffalo hump, truncal weight problems, purple striae, skinny pores and skin,
hypertension, hyperglycemia, muscle weakness, osteoporosis.
Addison's Disease Signs and Symptoms
Fatigue, weight loss, hyperpigmentation, hypotension, hyponatremia, hyperkalemia,
hypoglycemia, salt cravings.
Hypothyroidism Signs and Symptoms
Fatigue, weight advantage, cold intolerance, bradycardia, constipation, dry pores and skin, hair
thinning, depression.
Hyperthyroidism Signs and Symptoms
Weight loss, warmth intolerance, tachycardia, tremors, insomnia, exophthalmos, goiter.
Thyroid Storm Signs and Symptoms
Severe tachycardia, hyperthermia (as much as 106°F), agitation, delirium, seizures, belly ache,
vomiting, diarrhea, shock.
Thyroid Storm Nursing Interventions
Administer antithyroid medicines (PTU, methimazole), iodine answer, beta-blockers, IV fluids,
cooling blankets, oxygen remedy, and control electrolytes.
Cushing's Disease Nursing Interventions for Infection
Monitor for signs and symptoms of infection, make certain hand hygiene, restrict publicity to ill
individuals, and train on right wound care.
,Addisonian Crisis Signs and Symptoms
Severe hypotension, tachycardia, dehydration, hyperkalemia, hyponatremia, hypoglycemia,
confusion, and shock.
Addisonian Crisis Nursing Interventions
Administer IV hydrocortisone, speedy IV fluids (zero.Nine% saline and dextrose), display
essential symptoms, control electrolytes, and provide glucose assist.
Myxedema Coma Signs and Symptoms
Hypothermia, bradycardia, hypotension, hypoventilation, altered intellectual popularity, and
generalized edema.
Myxedema Coma Nursing Interventions
Administer IV thyroid hormone, warm the patient progressively, reveal crucial signs and
symptoms, manipulate hypoglycemia, and offer ventilatory guide.
Thyroid Storm Patient Education
Adhere to antithyroid medications, keep away from stress and infections, file fever or
palpitations, and attend ordinary thyroid function comply with-ups.
DKA Nursing Interventions for Electrolytes
Monitor potassium stages closely, update potassium as needed, and examine for signs and
symptoms of hypokalemia all through insulin remedy.
HHS Complications and Interventions
Complications encompass severe dehydration and electrolyte imbalances. Interventions
encompass aggressive IV fluid substitute, insulin drip, and close tracking of cardiac popularity.
Metabolic Syndrome Risk Factors
Obesity, sedentary way of life, insulin resistance, high blood pressure, dyslipidemia, and genetic
predisposition.
Metabolic Syndrome Nursing Interventions
Promote weight reduction thru weight-reduction plan and exercising, teach on smoking
cessation, manage blood stress and glucose ranges, and screen lipid profiles.
, Diet for Diabetes
Low glycemic index ingredients, balanced consumption of carbs, proteins, and fats, avoid
sugary drinks, slight alcohol intake, constant meal instances.
Diet for Cushing's Disease
High-protein, low-sodium, excessive-potassium food regimen, avoid foods excessive in sugar.
Diet for Addison's Disease
High-sodium, low-potassium weight loss program at some stage in strain, keep hydration, small
frequent food.
Diet for Hypothyroidism
Low-calorie diet, good enough iodine intake, avoid goitrogens (e.G., soy, cruciferous veggies).
Diet for Hyperthyroidism
High-calorie, excessive-protein eating regimen, avoid caffeine and particularly seasoned foods,
common small meals.
Complications of Hypothyroidism
Myxedema coma, cardiovascular disease, infertility, melancholy.
Complications of Hyperthyroidism
Thyroid hurricane, atrial traumatic inflammation, osteoporosis, weight loss.
Thyroid Storm Causes
Triggered by using pressure, infection, surgical treatment, trauma, or noncompliance with
antithyroid medicines.
Thyroid Storm Diagnostic Findings
Elevated T3 and T4 ranges, decreased TSH, signs and symptoms of hypermetabolism (fever,
tachycardia).
Myxedema Coma Causes