ATI Diabetes Questions and Answers
PatientAwithAtypeA1AdiabetesAhasAanxietyAandApalpitations.AGlucometer=50mg/dl.A
GiveAtheApatient:A-ACORRECTAANSWERSA-
6ozAappleAjuice:AfterAconfirmingAhypoglycemia,AtheAnurseAshouldAgiveAtheApatientA15AtoA
20AgAofAaArapid-acting,AconcentratedAcarbohydrateAsource,AsuchAas
A4AtoA6AozAofAfruitAjuice--A8AozAofAskimAmilk--
A1AtbspAofAhoAthreeAorAfourAcommerciallyApreparedAglucoseAtablets.
[4ozAskimAmilk,1AtspAhoney,AOneAorAtwoAglucoseAtablets:ThisAdoesAnotAcontainAenoughA
carbohydratesAtoAreverseAhypoglycemia]
TeachATypeA1AdiabetesAptAhowAtoAcheckABGAlevelsA-ACORRECTAANSWERSA-
HoldAtheAtestAstripAnextAtoAtheAbloodAonAfingertipA
ThisAallowsAtheAbloodAtoAflowAoverAtheAreagentApadAuntilAtheAamountAofAbloodAonAtheAstripA
isAadequate.AAAsampleAthatAisAtooAsmallAcanAresultAinAfalselyAlowAreadings.
InsulinAAspartA(Novolog)
"A"AGlulisineA(Apidra)
"A"ALisproA(Humalog)A-ACORRECTAANSWERSA-rapidAactingAinsulins
insulinAgalrgineA(Lantus)A-ACORRECTAANSWERSA-
longAactingAinsulinAprovidesAbasalAglucoseAcontrol.ATheAdosageAisAtypicallyAonceAdailyA
qA12Ah
metforminA(Glucophage)AbiguanideA-ACORRECTAANSWERSA-
ExpectedAAction:AInhibitAgluconeogenesisAinAliverA•AincreasedAmuscularAuptakeAandAuseAo
fAglucose
Diabetes:AagitateAsyringeAtoA-ACORRECTAANSWERSA-resuspendAtheAinsulin
Diabetes:AstoreApensAwithAneedleAupAtoA-ACORRECTAANSWERSA-
keepAtheAneedlesAfromAclogging
Diabetes:ArapidlyAinsertAtheAneedleAtoA-ACORRECTAANSWERSA-minimizeApain
Diabetes:AkeepApenAatAroomAtemperatureAtoA-ACORRECTAANSWERSA-minimizeApain
DiabetesApumpAincreasesAriskAofADKAAbcA-ACORRECTAANSWERSA-
MalfunctionAofAtheApumpAfromAlowAbatteryApower,AocclusionAofAtubingAorAneedles,AorAlackA
ofAinsulinAinAtheApumpAincreasesAtheAriskAofADKA
DKAA-ACORRECTAANSWERSA-DiabeticAketoacidosis:
OccursAwhenAtheAbodyAcannotAuseAsugarA(glucose)AasAaAfuelAsourceAbecauseAthereAisAnoA
insulinAorAnotAenoughAinsulin.AFatAisAusedAforAfuelAinsteadAandAproducesAketones
NPHA(HumulinAN)A-ACORRECTAANSWERSA-Intermediate-actingAinsulin.AOnset:A1-
2Ahours.APeak:A6-14Ahours.ADuration:A18-24Ahours.
RegularAinsulinA(HumulinAR,ANovolinAR)A-ACORRECTAANSWERSA-
onsetAofA30AtoA60Aminutes,ApeaksAinA1AtoA5Ahours,AandAlastsAupAtoA10Ahours.
InsulineAglargineA(Lantus)A-ACORRECTAANSWERSA-
onsetAofA70Aminutes,AitAisApeakless,AandAitAhasAaAdurationAofA24Ahours.
PatientAwithAtypeA1AdiabetesAhasAanxietyAandApalpitations.AGlucometer=50mg/dl.A
GiveAtheApatient:A-ACORRECTAANSWERSA-
6ozAappleAjuice:AfterAconfirmingAhypoglycemia,AtheAnurseAshouldAgiveAtheApatientA15AtoA
20AgAofAaArapid-acting,AconcentratedAcarbohydrateAsource,AsuchAas
A4AtoA6AozAofAfruitAjuice--A8AozAofAskimAmilk--
A1AtbspAofAhoAthreeAorAfourAcommerciallyApreparedAglucoseAtablets.
[4ozAskimAmilk,1AtspAhoney,AOneAorAtwoAglucoseAtablets:ThisAdoesAnotAcontainAenoughA
carbohydratesAtoAreverseAhypoglycemia]
TeachATypeA1AdiabetesAptAhowAtoAcheckABGAlevelsA-ACORRECTAANSWERSA-
HoldAtheAtestAstripAnextAtoAtheAbloodAonAfingertipA
ThisAallowsAtheAbloodAtoAflowAoverAtheAreagentApadAuntilAtheAamountAofAbloodAonAtheAstripA
isAadequate.AAAsampleAthatAisAtooAsmallAcanAresultAinAfalselyAlowAreadings.
InsulinAAspartA(Novolog)
"A"AGlulisineA(Apidra)
"A"ALisproA(Humalog)A-ACORRECTAANSWERSA-rapidAactingAinsulins
insulinAgalrgineA(Lantus)A-ACORRECTAANSWERSA-
longAactingAinsulinAprovidesAbasalAglucoseAcontrol.ATheAdosageAisAtypicallyAonceAdailyA
qA12Ah
metforminA(Glucophage)AbiguanideA-ACORRECTAANSWERSA-
ExpectedAAction:AInhibitAgluconeogenesisAinAliverA•AincreasedAmuscularAuptakeAandAuseAo
fAglucose
Diabetes:AagitateAsyringeAtoA-ACORRECTAANSWERSA-resuspendAtheAinsulin
Diabetes:AstoreApensAwithAneedleAupAtoA-ACORRECTAANSWERSA-
keepAtheAneedlesAfromAclogging
Diabetes:ArapidlyAinsertAtheAneedleAtoA-ACORRECTAANSWERSA-minimizeApain
Diabetes:AkeepApenAatAroomAtemperatureAtoA-ACORRECTAANSWERSA-minimizeApain
DiabetesApumpAincreasesAriskAofADKAAbcA-ACORRECTAANSWERSA-
MalfunctionAofAtheApumpAfromAlowAbatteryApower,AocclusionAofAtubingAorAneedles,AorAlackA
ofAinsulinAinAtheApumpAincreasesAtheAriskAofADKA
DKAA-ACORRECTAANSWERSA-DiabeticAketoacidosis:
OccursAwhenAtheAbodyAcannotAuseAsugarA(glucose)AasAaAfuelAsourceAbecauseAthereAisAnoA
insulinAorAnotAenoughAinsulin.AFatAisAusedAforAfuelAinsteadAandAproducesAketones
NPHA(HumulinAN)A-ACORRECTAANSWERSA-Intermediate-actingAinsulin.AOnset:A1-
2Ahours.APeak:A6-14Ahours.ADuration:A18-24Ahours.
RegularAinsulinA(HumulinAR,ANovolinAR)A-ACORRECTAANSWERSA-
onsetAofA30AtoA60Aminutes,ApeaksAinA1AtoA5Ahours,AandAlastsAupAtoA10Ahours.
InsulineAglargineA(Lantus)A-ACORRECTAANSWERSA-
onsetAofA70Aminutes,AitAisApeakless,AandAitAhasAaAdurationAofA24Ahours.
