Answers
What is the action of glucagon? - -Increases blood sugar (blood glucose)
What are S/S of hypoglycemia? - -Reduced cognition, tremors, diaphoresis, weakness, hunger, HA,
irritability, seizure
What are the S/S of hyperglycemia? - -Polyuria, polydipsia, dehydration, fatigue, fruit odor on
breath, Kussmaul breathing, weight loss, hunger, poor wound healing
What do we teach a newly diagnosed diabetic? - -Cannot eat anything and expect insulin to pick
up slack, reduce sat fat, plan meals at home, choose foods from MyPlate, don't increase carbs before
exercise, check blood sugar often when ill
What do we monitor for in Type I diabetes and post-op? - -Monitor for complications and
infection
What labs do we check with type I diabetes and post-op? - -CBC, BUN, Creatinine,
microalbuminuria
What lab don't we monitor with type I diabetes and post-op? - -Dilantin level
When a pt with type I diabetes mellitus develops an infection, they should? - -Continue to
administer insulin as prescribed
What should we teach to a pt with type I diabetes and lipodystrophy? - -Rotate injection sites
When the nurse sees S/S of hypo or hyperglycemia in a pt, what do they check first? - -Blood
glucose level
What are risk factors for DM type II? - -Overweight, high cholesterol, HTN, sedentary lifestyle
Who is act risk for DM type I? - -Juveniles, family history of pancreatic cancer
How do we mix regular and NPH insulins? - -Air in cloudy(NPH), air in clear(Reg); draw up the
regular, draw up the NPH
Primary prevention in DM? - -Diet, healthy weight, exercise, NO TESTS DONE HERE!
Possible precursors to diabetes? - -Acanthosis nigricans, HTN, elevated fasting blood sugar
Prevention of long-term complications with DM? - -Daily foot exam, annual renal function test,
maintain LDL under 150
DM type II and pt teaching? - -Do NOT mix Humalog and glaring, pt should update on any change
in meds, always wear socks - do not walk barefoot