NUR 445 Exam 2
Diabetes Insipidus s/sx - answer Polyuria
low specific gravity
low urine osmolality
high serum osmolality
DI abnormal lab values - answer hypernatremia
elevated Hct
Low ADH
DI management - answer Aqueous vasopressin
desmopressin
DI patients are at risk for - answer hypovolemic shock
SIADH s/sx - answerOliguria
high specific gravity
high urine osmolality
low serum osmolality
SIADH abnormal lab values - answerhyponatremia
low HCT
elevated ADH
SIADH management - answerhypertonic saline
fluid restriction
furosemide
monitor I&O
neuro status
SIADH patients are at risk for - answerseizures
*implement seizure precautions*
DKA - answerseen in type 1 diabetics
DKA blood glucose - answer250
DKA clinical manifestations - answermetabolic acidosis
ketones
rapid onset
dehydration
N/V
, abdominal pain
HHS - answerSeen in type 2 diabetics
HHS blood glucose - answer>600
HHS clinical manifestations - answerno acidosis
no ketones
slow onset
profound dehydration
neuro complications
Type 1 diabetes - answerno insulin production
usually diagnosed in childhood
caused by autoimmune response
ketones build up which cause acidosis
type 2 diabetes - answerdoes not produce enough insulin
onset usually as an adult
type 1 diabetes onset - answerabrupt
polyuria, polydipsia, polyphagia
type 2 diabetes - answeronset is gradual
polyuria, polydipsia, polyphagia
type 1 diabetes treatment - answerinsulin only
type 2 diabetes treatment - answerdiet
exercise
metformin
possibly insulin
DKA treatment - answerIV insulin
fluid replacement
correction of electrolyte imbalances
HHS treatment - answerfluid replacement
correction of electrolyte imbalances
possible insulin administration
hyperglycemia - answerpolyuria
polydipsia
polyphagia
hot and dry skin
dry mouth
Diabetes Insipidus s/sx - answer Polyuria
low specific gravity
low urine osmolality
high serum osmolality
DI abnormal lab values - answer hypernatremia
elevated Hct
Low ADH
DI management - answer Aqueous vasopressin
desmopressin
DI patients are at risk for - answer hypovolemic shock
SIADH s/sx - answerOliguria
high specific gravity
high urine osmolality
low serum osmolality
SIADH abnormal lab values - answerhyponatremia
low HCT
elevated ADH
SIADH management - answerhypertonic saline
fluid restriction
furosemide
monitor I&O
neuro status
SIADH patients are at risk for - answerseizures
*implement seizure precautions*
DKA - answerseen in type 1 diabetics
DKA blood glucose - answer250
DKA clinical manifestations - answermetabolic acidosis
ketones
rapid onset
dehydration
N/V
, abdominal pain
HHS - answerSeen in type 2 diabetics
HHS blood glucose - answer>600
HHS clinical manifestations - answerno acidosis
no ketones
slow onset
profound dehydration
neuro complications
Type 1 diabetes - answerno insulin production
usually diagnosed in childhood
caused by autoimmune response
ketones build up which cause acidosis
type 2 diabetes - answerdoes not produce enough insulin
onset usually as an adult
type 1 diabetes onset - answerabrupt
polyuria, polydipsia, polyphagia
type 2 diabetes - answeronset is gradual
polyuria, polydipsia, polyphagia
type 1 diabetes treatment - answerinsulin only
type 2 diabetes treatment - answerdiet
exercise
metformin
possibly insulin
DKA treatment - answerIV insulin
fluid replacement
correction of electrolyte imbalances
HHS treatment - answerfluid replacement
correction of electrolyte imbalances
possible insulin administration
hyperglycemia - answerpolyuria
polydipsia
polyphagia
hot and dry skin
dry mouth
