Diabetes
This type of Diabetes is an absolute insulin deficiency
Type 1
Symptoms of hypoglycemia (3)
pale, perspirations, hungry, shaky, tachycardic, H/A, confusion, lethargy, coma, sz, death
SIADH causes which electrolyte imbalance
Hyponatremia
Insulin can not be given this route
PO
Regular insulin is this: (clear or cloudy)
CLEAR
Insulin drives this electrolyte into cells
Potassium
Symptoms of DKA (3)
hyperglycemia, acidosis, kussmaul respirations, abdominal pain, acetone breath, dehydration
Diabetes Insipidus symptoms (3)
polydipsia, polyuria, hypernatremia, low urine spec gravity, high serum osmolality
Disorders of anterior pituitary involve an imbalance in this hormone
Growth Hormone
One Type II DM PO medication
Glipizide, Metformin
Acid Base imbalance with DM in DKA
metabolic acidosis: decreased pH, increased CO2, decreased HCO3
Sick day management for the DM who can not eat solid foods
instruct patient to drink liquids with CHOs - juices or regular sugar decaffeinated sodas
most important VS to assess with pheochromocytoma
BP
Disorders of posterior pituitary involve an imbalance in this hormone
ADH
Diabetis Insipidus Treatment
DDAVP
Treatment of hypoglycemia in the awake patient
15gm CHO (4 oz OJ) every 15 min until BG > 70
Diabetic early morning hyperglycemia that can last weeks and leads to temporary insulin adjustments during periods of growth
Dawn Phenomenon
Syndrome with severe excess corticosteroids
Cushings (hyperglycemia, weakness, osteoporosis, delayed wound healing, HTN, hypokalemia, buffalo hump, moon face)
The nurse adds dextrose to IVF when glucose reaches a certain level in the DKA patient
250mg/dl
Hold this diabetic medication 48 hours before and after IV contrast to protect kidney function
Metformin (Glucophage)
The most concerning diabetic clinical manifestation is this
Hypoglycemia
Elderly patient with DM who is extremely dehydrated is high risk for this complication
Hyperosmolar Hyperglycemic Syndrome HHS
Adrenal syndrome that is treated by steroid replacement treatment, increasing dietary salt intake, and limiting stress
Addison's (adrenal insufficiency)
How many u/ml is 100u/250ml
0.4u/ml
If corticosteroids are stopped abruptly, this happens
Addisonian Crisis in the adrenal gland