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NUR 600 EXAM 5 – Questions With Proper Solutions

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NUR 600 EXAM 5 – Questions With Proper Solutions

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NUR 600 EXAM 5 – Questions With Proper Solutions

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the lower esophageal sphincter is
Do NOT Use oral hypoglycemic meds in
1 incompetent causing gastric acid to g up 2
the
into the esophagus.



.First-Line treatment for Type 2 Diabetes
3 Scopolamine patch how often? 4
Mellitus



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,Terms in this set (172)



the lower esophageal sphincter is Gastroesophageal Reflux (GERD)
incompetent causing gastric acid to g
up into the esophagus.


GERD Diagnosis Endoscopy biopsy and pH of esophageal contents
(normal pH is close to 7.0)


GERD Prevention AVOID full stomach, eat small portions every 3hrs, HOB
elevated, AVOID coffee, alcohol, fats, smoking!




GERD Medications (-ZOLE), Proton pump inhibitors: Omeprazole,
Lansoprazole, Pantoprazole, metoclopramide (Reglan).
(Produces anticholinergic effects, Peripheral nervous
system is stimulated -FAST, DRY, DILATED)


.First-Line treatment for Type 2 Diabetes Metformin
Mellitus


Metformin type 2 diabetes.
is recommended as initial
pharmacologic treatment for


It has been shown to decrease Metformin
triglycerides and LDLs.


Metformin Most common side effects is LACTIC ACIDOSIS


Symptoms of lactic acidosis include nausea abdominal pain, and tachycardia.

, lACTIC ACIDOSIS Test should include electrolytes, ketones, and serum glucose.


Obese Patients with normal renal combination of Metformin & a second-generation
function and elevated fasting plasma sulfonylurea.
glucose may be started on


should be considered for patients with Insulin
diabetes during times of physical stress,
such as illness or surgery.




Do NOT Use oral hypoglycemic meds in perioperative period.
the


to Prevent onset or delay onset of 5% to 10% (10-15 lbs) of body weight.
diabetes: Patients with impaired glucose
should be advised to lose


Testing for type 2 diabetes should be 25
considered in all adults with BMI
GREATER then


A patient with a triglycerides greater type 2 diabetes
then 250mg/dL or a HDL less than n
35mg/dL is a risk for developing


A fasting plasma lever greater then diabetes
126mg/dL indicates .


A fasting plasma of what level indicates 126 mg/dL
diabetes

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