Oral antidiabetic vs insulin
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- Type 1 with ALWAYS require insulin
- Type 2 only requires insulin
- Timed during the day to mimic the normal function of the pancreas
- NEVER a substitute for mgmt of diet and exercise
,Causes of hypercalcemia
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- Renal failure
- Dehydration
- Metastatic CA
- HCTZ
- Too much Ca intake
IV magneisum
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- Has a bronchodilator effect
- Good for "silent chest"
Micro vascular complications with DM
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- Eye & vision changes
- Diabetic peripheral neuropathy
- Diabetic nephropathy
- Male ED
- Cognitive dysfunction
Clinical manifestations of hypervolemia (Fluid volume excess)
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- Rapid, bounding palse
- Increase in BP
- S3 develops
- Distended neck veins
- Edema
- Sudden wt gain
- SOB
- Crackles
- Pink sputum
- Cough
- Cerebral edema
- BP and cardiac will fall with progression
Rapid acting insulin
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- lispro (Humalog), aspart (Novolog), and glulisine (Apidra)
- Onset action in 15 minutes
- Peak 30 min - 3 hours
- Duration 3-5 hours
- Should be administered within 15 minutes of meal time
Nutrition intervention
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, - Manage carb intake 45% of daily intake
- Limit fat and cholesterol
- Protein intake of 15-20%
- Limit high fructose corn syrup and sugar sweetened beverages
- Limit ETOH
Clinical manifestations of hypernatremia
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- Thirst
- Decreased LOC
- Coma
- Seizures
- Agitation
- Decreased cardiac contractility
- Twitching
Hypomagnesemia
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- Lsss than 1.5 mEq
- Corresponds with calcium
- Avoid administering magnesium sulfate IM route
An induration of 5 or more mm is considered positive for TB for:
Give this one a try later!
Give this one a try later!
- Type 1 with ALWAYS require insulin
- Type 2 only requires insulin
- Timed during the day to mimic the normal function of the pancreas
- NEVER a substitute for mgmt of diet and exercise
,Causes of hypercalcemia
Give this one a try later!
- Renal failure
- Dehydration
- Metastatic CA
- HCTZ
- Too much Ca intake
IV magneisum
Give this one a try later!
- Has a bronchodilator effect
- Good for "silent chest"
Micro vascular complications with DM
Give this one a try later!
- Eye & vision changes
- Diabetic peripheral neuropathy
- Diabetic nephropathy
- Male ED
- Cognitive dysfunction
Clinical manifestations of hypervolemia (Fluid volume excess)
,Give this one a try later!
- Rapid, bounding palse
- Increase in BP
- S3 develops
- Distended neck veins
- Edema
- Sudden wt gain
- SOB
- Crackles
- Pink sputum
- Cough
- Cerebral edema
- BP and cardiac will fall with progression
Rapid acting insulin
Give this one a try later!
- lispro (Humalog), aspart (Novolog), and glulisine (Apidra)
- Onset action in 15 minutes
- Peak 30 min - 3 hours
- Duration 3-5 hours
- Should be administered within 15 minutes of meal time
Nutrition intervention
Give this one a try later!
, - Manage carb intake 45% of daily intake
- Limit fat and cholesterol
- Protein intake of 15-20%
- Limit high fructose corn syrup and sugar sweetened beverages
- Limit ETOH
Clinical manifestations of hypernatremia
Give this one a try later!
- Thirst
- Decreased LOC
- Coma
- Seizures
- Agitation
- Decreased cardiac contractility
- Twitching
Hypomagnesemia
Give this one a try later!
- Lsss than 1.5 mEq
- Corresponds with calcium
- Avoid administering magnesium sulfate IM route
An induration of 5 or more mm is considered positive for TB for:
Give this one a try later!
