Diabetes / Endocrine Nsg 124
ADA recommendation
Amount of Fiber per day - ANS 25-30 g
pg 1166
When to check Blood Glucose - ANS before meals
after = inaccurate
essential if basing insulin on BS results
Diabetes Management - ANS exercise
snack nearby during exercise
eat regular times
high fiber, low fat
pg 1169
Glucagon injection - ANS Nausea
Position on side prevents aspiration
Other positions not advised = aspiration
pg 1180
Metformin - ANS primary = reduce glucose production liver
causes weight loss
administered conjunction sulfonylureas
preferred initial Type II management
pg 1163
Regular insulin - ANS peaks 2-5 hrs
offer snack
pg 1159
Fundus photography - ANS examine interior surface of ey
detect microvascular damage to retina
pg 1181
Retinopathy - ANS cause = chronic hyperglycemia
pg 1181
Monitor Neuropathy - ANS comprehensive foot examination
check for micro albuminuria
serum creatine levels
pg 1181
, Monitor Dermatopathy - ANS frequent skin examinations
pg 1181
ASPART - ANS fast acting insulin
onset within 5 min
peaks within 1 hour
pg 1160
Site selection blood sugar test - ANS hang hand down
side of fingertip
site washed soap and warm water
pg 1168
DKA (Diabetic Keto Acidosis) - ANS severely dehydrated
IV access = established first
pg 1176
Insulin administration - ANS administered only after K+ levels is determined
may cause hypokalemia
pg 1176
Microangiopathy - ANS eyes = diabetic retinopathy
kidneys = nephropathy
skin= foot ulcers
pg 1181
Microangiopathy contributes - ANS cerebrovascular disease
cardiovascular disease
peripheral vascular disease
sexual impotence
slowed gastric emptying
pg 1181
Microangiopathy occurs - ANS Type I
Type II
pg 1181
Food limitation - ANS Cheese and Dairy = high in fat and calories
pg 1166
somogyi effect - ANS rebound hyperglycemia
low followed by high blood sugar
occurs = untreated night time hypoglycemia
ADA recommendation
Amount of Fiber per day - ANS 25-30 g
pg 1166
When to check Blood Glucose - ANS before meals
after = inaccurate
essential if basing insulin on BS results
Diabetes Management - ANS exercise
snack nearby during exercise
eat regular times
high fiber, low fat
pg 1169
Glucagon injection - ANS Nausea
Position on side prevents aspiration
Other positions not advised = aspiration
pg 1180
Metformin - ANS primary = reduce glucose production liver
causes weight loss
administered conjunction sulfonylureas
preferred initial Type II management
pg 1163
Regular insulin - ANS peaks 2-5 hrs
offer snack
pg 1159
Fundus photography - ANS examine interior surface of ey
detect microvascular damage to retina
pg 1181
Retinopathy - ANS cause = chronic hyperglycemia
pg 1181
Monitor Neuropathy - ANS comprehensive foot examination
check for micro albuminuria
serum creatine levels
pg 1181
, Monitor Dermatopathy - ANS frequent skin examinations
pg 1181
ASPART - ANS fast acting insulin
onset within 5 min
peaks within 1 hour
pg 1160
Site selection blood sugar test - ANS hang hand down
side of fingertip
site washed soap and warm water
pg 1168
DKA (Diabetic Keto Acidosis) - ANS severely dehydrated
IV access = established first
pg 1176
Insulin administration - ANS administered only after K+ levels is determined
may cause hypokalemia
pg 1176
Microangiopathy - ANS eyes = diabetic retinopathy
kidneys = nephropathy
skin= foot ulcers
pg 1181
Microangiopathy contributes - ANS cerebrovascular disease
cardiovascular disease
peripheral vascular disease
sexual impotence
slowed gastric emptying
pg 1181
Microangiopathy occurs - ANS Type I
Type II
pg 1181
Food limitation - ANS Cheese and Dairy = high in fat and calories
pg 1166
somogyi effect - ANS rebound hyperglycemia
low followed by high blood sugar
occurs = untreated night time hypoglycemia
