An unconscious patient had a blood glucose of 44
o Give IV dextrose 50%, glucagon IM
A patient just started taking an oral hypoglycemic and is tremoring, diaphoretic, agitated. What do you
do?
o Check sugar
o If conscious give carbs
Teachings for insulin injections
o Injections sites
o Rotating sites
o Administration time
o How to mix vials
o Expiration and storage
o S&S of hypoglycemia/hyperglycemia
Signs of Hyperglycemia
o 3 P’s
Polyuria- urine
Polyphagia -hunger
Polydipsia – thirst
Signs of hypoglycemia
o Shaking
o tremors
o sweating
o nervousness
o increased pulse
o cold/clammy
o tachycardia
o seizures
o slurred speech
If a patient is on regular insulin and sugar was 190 and then dropped to 40 at lunch what could have
happened?
o Didn’t eat enough
o Too much insulin
o Vomiting/diarrhea
o Alcohol
o Beta blocker was taken
o May need a lower dose on scale
What can make sugar go up (hyperglycemia)
o Stress, alcohol, antibiotics, steroids
The night nurse at 0700 gives sliding scale, lispro at 0730 patients is clammy, diaphoretic
o Check sugar
o Give carbs
Smoking with oral contraceptives can cause
o Blood clots and strokes
When taking high doses of steroids don’t
o Stop abruptly
This study source was downloaded by 100000806176105 from CourseHero.com on 02-10-2022 23:40:12 GMT -06:00
https://www.coursehero.com/file/26339816/Exam-2-Notesdocx/
, o wash your hands
Thyroid storm
o Tachycardia
o cardiac dysrhythmia
o fever
o heart failure
o flushed skin
o apathy
o confusion
o behavioral changes
o hypotension
o vascular collapse
o need to be hospitalized
What levels do we check for thyroid medication and when?
o TSH
o Check in the am because metabolism is low????
o High levels indicate failing
o Low levels overacting
Avoid what with prednisone (steroids)
o NSAIDS (ibuprofen, naproxen)
o It masks S&S of infection
NSAIDS and steroids do what to the body
o Bleeding in the gut from NSAIDS
o Steroids increases GI erosion
o Taken together they can cause ulcers
Why shouldn’t you use steroids with viruses
o They weaken the immune system
What can you use steroids for
o Asthma
Teaching about prednisone
o Look for expected outcomes
Increased weight
increased heart rate
increased energy
puffy face
red, warm skin
restlessness
hunger
bruising
hyperglycemia, may need insulin
Steroids for arthritis
o Decreases inflammation in the joints allowing for more movement
How do you apply eye ointment
o On lower lid inner to outer
What drugs can be used with Cipro
o
This study source was downloaded by 100000806176105 from CourseHero.com on 02-10-2022 23:40:12 GMT -06:00
https://www.coursehero.com/file/26339816/Exam-2-Notesdocx/
o Give IV dextrose 50%, glucagon IM
A patient just started taking an oral hypoglycemic and is tremoring, diaphoretic, agitated. What do you
do?
o Check sugar
o If conscious give carbs
Teachings for insulin injections
o Injections sites
o Rotating sites
o Administration time
o How to mix vials
o Expiration and storage
o S&S of hypoglycemia/hyperglycemia
Signs of Hyperglycemia
o 3 P’s
Polyuria- urine
Polyphagia -hunger
Polydipsia – thirst
Signs of hypoglycemia
o Shaking
o tremors
o sweating
o nervousness
o increased pulse
o cold/clammy
o tachycardia
o seizures
o slurred speech
If a patient is on regular insulin and sugar was 190 and then dropped to 40 at lunch what could have
happened?
o Didn’t eat enough
o Too much insulin
o Vomiting/diarrhea
o Alcohol
o Beta blocker was taken
o May need a lower dose on scale
What can make sugar go up (hyperglycemia)
o Stress, alcohol, antibiotics, steroids
The night nurse at 0700 gives sliding scale, lispro at 0730 patients is clammy, diaphoretic
o Check sugar
o Give carbs
Smoking with oral contraceptives can cause
o Blood clots and strokes
When taking high doses of steroids don’t
o Stop abruptly
This study source was downloaded by 100000806176105 from CourseHero.com on 02-10-2022 23:40:12 GMT -06:00
https://www.coursehero.com/file/26339816/Exam-2-Notesdocx/
, o wash your hands
Thyroid storm
o Tachycardia
o cardiac dysrhythmia
o fever
o heart failure
o flushed skin
o apathy
o confusion
o behavioral changes
o hypotension
o vascular collapse
o need to be hospitalized
What levels do we check for thyroid medication and when?
o TSH
o Check in the am because metabolism is low????
o High levels indicate failing
o Low levels overacting
Avoid what with prednisone (steroids)
o NSAIDS (ibuprofen, naproxen)
o It masks S&S of infection
NSAIDS and steroids do what to the body
o Bleeding in the gut from NSAIDS
o Steroids increases GI erosion
o Taken together they can cause ulcers
Why shouldn’t you use steroids with viruses
o They weaken the immune system
What can you use steroids for
o Asthma
Teaching about prednisone
o Look for expected outcomes
Increased weight
increased heart rate
increased energy
puffy face
red, warm skin
restlessness
hunger
bruising
hyperglycemia, may need insulin
Steroids for arthritis
o Decreases inflammation in the joints allowing for more movement
How do you apply eye ointment
o On lower lid inner to outer
What drugs can be used with Cipro
o
This study source was downloaded by 100000806176105 from CourseHero.com on 02-10-2022 23:40:12 GMT -06:00
https://www.coursehero.com/file/26339816/Exam-2-Notesdocx/
