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Interventions to prevent diabetes
Maintain healthy weight, diet and exercise
Signs of type 1 diabetes
3 polys, blurred vision, cold feet, numbness, shiny thin skin w/ no hair, age 30 and under,
sudden onset, underweight,
Signs of type 2 diabetes
No symptoms at first , later develop the 3 polys, obesity, Nigricans (black line on back of neck)
skin tags
S/S of hypoglycemia
Fatigue, weakness, irritability, reduce cognition, tremors, seizures, diaphoresis( sweating)
S/S of hyperglycemia
3 polys, fruity breath
S/S of diabetic ketoacidosis and treatment
High BS, high HR, restlessness, weight loss, fruity breath, kussmaul(fast deep RR) -- treatments;
IV regular insulin
First intervention if a pt. Presents with s/s of hypo/hyperglycemia
Check blood sugar
Prevention of long term complications of diabetes
Takes meds, daily feet care, yearly renal test, eye exams every 6 months, LDL less than 150
Dietary teaching for a diabetic patient
Meals at the same time every day, decrease saturated fats, increase exercise , refer pt. To
MyPlate learning tool,
Diabetic Pt. should never increase carbs unless...
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, Sugar is low before exercising
Discharge teaching for diabetic pt.
Know hypo/hyperglycemia s/s, know that stress and illness increase BS , see a diabetic educator,
know what the effect of Exercise can have on Bs
Diabetic foot care
Clean w/ soap and warm water, clean socks everyday, cut toe nails straight across, keep feet dry,
no powder or lotion b/t toes , wear shoes , inspect feet daily, no gardners
Lipid analysis
LDL-less than 100 HDL- more than 40 Triglycerides- more than 150
What are low and high levels of HDL indicative of
High- insulin resistance, low- insulin sensitivity
What insulins can not be mixed?
Levemir and Lantus ( detemir and glargine )
How to mix insulin
Short acting to long acting, regular to NPH, Clear to cloudy
Should a nurse hold a patients insulin before consulting a dr?
No
No insulin, beta cells are destroyed is a result of ?
Diabetes type 1
Beta cells exhaustion , insulin resistance is a result of ?
Diabetes type 2
Rapid acting insulin
Lispro(Humalog) aspart(Novolog) glulisine(Apidra)
Onset, peak and duration of Novolog and Apidra
Onset-15-30, Peak-1-3hr, duration-3-5hr
onset, peak and duration of humalog
Onset-15-30, Peak-1-2hr, duration-3-4hr
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