Nur 152 Final Exam with correct answers

Nur 152 Final Exam with correct answers


Type 1 Diabetes - ...,.🔹VERIFIED ANSWER **✔✔-Autoimmune
disorder
-Beta cells destroyed by own body, NO INSULIN is produced.
-Most often before age 15
-CANNOT use oral meds, ONLY INSULIN


Type 2 Diabetes - ...,.🔹VERIFIED ANSWER **✔✔Insufficient
amount of Insulin produced, or Insulin resistance
Genetic/heritage/lifestyle
Can be reversed with diet, exercise, weight loss
May require Insulin injections
Most common in adults 40 and over


Rapid acting Insulin - ...,.🔹VERIFIED ANSWER **✔✔Lispro
(Humalog)
Aspart (Novolog)


Short acting insulin - ...,.🔹VERIFIED ANSWER **✔✔Regular
(Humulin R, Novolin R)




,Intermediate acting Insulin - ...,.🔹VERIFIED ANSWER
**✔✔NPH
Can cause problems with hypoglycemia,
If getting in the am, be sure to eat lunch, do not exercise (between
lunch and dinner)


Long acting Insulin - ...,.🔹VERIFIED ANSWER **✔✔glargine
(Lantus)
No peak


Rapid acting Insulin onset - ...,.🔹VERIFIED ANSWER **✔✔5-15
min
POSES THE HIGHEST RISK FOR HYPOGLYCEMIA


Short acting Insulin onset - ...,.🔹VERIFIED ANSWER **✔✔30
minutes
ONLY Insulin given IV
REGULAR goes RIGHT into the vein (memory trick)


Intermediate acting Insulin onset - ...,.🔹VERIFIED ANSWER






,**✔✔1-2 hours


Long acting Insulin onset - ...,.🔹VERIFIED ANSWER **✔✔30-60
minutes


Metformin (for type 2) S/E - ...,.🔹VERIFIED ANSWER **✔✔GI
upset
N/V
Weakness
Metallic taste in mouth


Glipizide
Glyburide (for type 2) - ...,.🔹VERIFIED ANSWER
**✔✔Stimulates pancreas to make more insulin


Hypoglycemia - ...,.🔹VERIFIED ANSWER **✔✔Low blood
glucose
70 mg/dL OR LESS
40 mg/dL OR LESS = Severe hypoglycemia


Causes of Hypoglycemia - ...,.🔹VERIFIED ANSWER **✔✔Too






, much insulin or oral hypoglycemic agent
Poor eating
Exercise
Insulin peaking
Occurs anytime, often before meals


Hypoglycemia S/S - ...,.🔹VERIFIED ANSWER **✔✔(MILD)
Diaphoresis, tremors, tachycardia, palpitations, hunger
(MODERATE) Difficulty concentrating, headache, irritability,
speech problems, impaired coordination, vision problems, tiredness
(SEVERE) Disorientation, seizures, difficulty waking, loss of
conciseness


Hypoglycemia Treatment - ...,.🔹VERIFIED ANSWER
**✔✔immediate ingestion of 15-20g quick acting carbohydrates;
wait 15 minutes, repeat if needed.
keep candy on hand.


Hyperglycemia - ...,.🔹VERIFIED ANSWER **✔✔High blood
glucose
Fasting glucose of 126 mg/dL OR HIGHER