acute intervention in diabetes Correct Answers during illness or
surgery, patient may have hyperglycemia; may require extra
insulin, should continue with regular meal plan, increase
noncaloric fluids, should keep taking oral agents and insulin,
check levels every 4 hours
ADA recognizes 4 types of diabetes Correct Answers type 1,
juvenile-onset, insulin-dependent
prediabetes
type 2, adult-onset, non-insulin dependent
gestational
adrenalectomy Correct Answers stress will cause complications
following surgery due to the hormones produced by the glands
age related macular degeneration Correct Answers most
common cause of irreversible central vision loss in people over
age 60 in the US; dry or wet
antithyroid medications Correct Answers inhibits the synthesis
of thyroid hormones
improvements seen in 1 to 2 weeks after beginning treatment
therapy should be continued for 6 to 15 months
medications include propyl and methimazole
,biguanides Correct Answers decrease rate of hepatic glucose
production
augments glucose uptake by tissues (increase sensitivity)
transport glucose into cells from the blood
central hearing loss Correct Answers involves the inability to
interpret sound because of a problem in the brain
chronic complications of diabetes mellitus Correct Answers
begin in 10 to 20 years
macrovascular damage: damage to large vessels
microvascular damage: damage to small vessels
clinical manifestation of type 2 diabetes Correct Answers
symptoms associated with type 1
recurrent infections
prolonged would healing
visual changes
clinical manifestations of AMD Correct Answers blurred or
darkened vision; scotomas (blind spots); metamorphopsia
(distortion of vision)
clinical manifestations of diabetic ketoacidosis Correct Answers
early: lethargy and weakness
, decreased skin turgor, dry mucous membranes, tachycardia,
orthostatic hypotension
acetone on breath (fruity odor)
clinical manifestations of type 1 diabetes Correct Answers
polydipsia, polyuria, polyphagia
weight loss
weakness & fatigue
ketoacidosis
cochlear implant Correct Answers used as a hearing device for
people with severe to profound sensorineural hearing loss in one
or both ears
collaborative care: diabetes mellitus Correct Answers goals of
treatment are tight glucose control, getting the patient on board
with self management, promote well-being, prevent acute
complications, delay onset and progression of long-term
complications
collaborative care: diabetic ketoacidosis Correct Answers
hospitalization may not be required
initial goal: establish IV access and begin fluid/electrolyte
replacement (fluid resuscitation) with normal saline or half
normal saline
obtain potassium level prior to beginning insulin