Type 1/Type 2/Metabolic
Injection of lispro insulin should be completed at this time
What is 15 minutes before a meal?
Contraindications: untreated adrenal insufficiency, myocardial infarction, untreated cardiac arrhythmias, inflammatory heart disease
What is Levothyroxine?
Metabolic acidosis
Who is a client in DKA manifesting Kussmaul breathing?
Sweating, weight loss, fatigue, agitation, tachycardia, A-fib, anxiety, heat intolerance
What are s/s of thyrotoxicosis?
Neurosurgery, head trauma, autoimmune disease, vascular disease, infection
What is an acquired cause of central DI?
Monitor blood glucose levels including urine keytones, dietary recommendations, daily foot care, screenings for complications, recognition of hyperglycemia and hypoglycemia
What is type 1 diabetes mellitus education?
Poorly managed, stopping medication abruptly, trauma, surgery, COVID-19
What is risk factors?
Age greater than 65, slow onset, serum glucose greater than 600, fever
What is HHS?
Elevated phosphate levels, normal calcium levels, normal magnesium levels
What is hypoparathyroidism?
Conivaptan hydrochloride, Tolvaptan, sodium chloride
What is the treatment for SIADH?
Take 30 min before meals, monitor for hypoglycemia, make be take in combination with other hypoglycemic agents, high alert medications, used to increase insulin secretion from pancreas
What are Sylgonylureas medication?
High fever, tachycardia, hypotension, tremors, anxiety, confusion
What are signs and symptoms of thyroid storm?
Plasma osmolarity greater than 320 mOsm/L
What lab is indicative is a client in hyperosmolar hyperglycemic state (HHS)?
Monitor airway, HOB raised, monitor for hypocalcemia
What is post op thyroidectomy?
Serum Osmolality low, serum glucose normal, urine output low, dehydration
What is a client with SIADH?
Diet changes, exercise, have glucose tabs and hard candy, adrenal glands respond to this
What is education with hypoglycemia (low blood glucose)?
Urticaria, lymphadenopathy, decreased urination, paresthesia, GI upset, rash
What are adverse effects of propylthiouracil (PTU)?
Take 30 min before meals, do not take if NPO, hold for procedures requiring contrast dye, prevention of lactic acidosis
What is education for use of Glucophage (metformin)?
Increased magnesium levels, fatigue, joint pain, high calcium levels
What is manifestation of hyperparathyroidism?
Nursing interventions include weight patient daily, restrict sodium intake, monitor I&O, meticulous skin care, assess for hypervolemia, prevention infection
Who is a patient with Cushing's syndrome?
Cluster of health conditions including obesity, hypertension, insulin resistance, high triglycerides
What is Metabolic Syndrome?
Oxygen, IV fluids, temperature management, medications
What are treatments for thyroid storm?
Rapid-acting, helps control blood glucose postprandial, used in conjunction with other insulin types
What is lispro or aspart?
Med interactions with coumadin, monitor for liver toxicity, decreased RBC, blood in stool, rash
What is education for Methimazole?
Growth hormone, thyroid stimulating hormone, adrenocorticotropic hormone, luteinizing hormone, prolactin
What are hormones released by the anterior pituitary gland?