DM Pharmacology
Clients taking metformin are at risk for _____ _____ when receiving contrast media.
lactic acidosis
Sweating, tachycardia, tremors, palpitations, hunger, and lightheadedness are signs/symptoms of what?
Hypoglycemia
Which gland is both excocrine and endocrine
pancreas
A1c 4.9% is consider what type of glycemic control
EXCELLENT!!! review/menorzie chart in textbook
IV contrast dye testing and metformin? Hold metformin on day of procedure and ____ hours after
48 hours
The nurse should plant to administer ___ to ___ g of fast-acting carbohydrates to treat the client’s LOW blood glucose
15 to 20
Polydipsia, or increased thirst, is a manifestation of what emergent diabetic complication (usually with type 1 diabetes)
DKA
If some antagonize insulin what would this result in
hyperglycemia
why diabetics are prone to infection?
Atherosclerotic vascular changes decrease blood supply to tissues.
Elevation of FBG daily early in the morning causes by increase insulin resistance between 4-8 a.m./spike of GH, glucagon, cortisol
Dawn phenomenon
What class of medication can cause HYPERGLYCEMIA?
Corticosteriods (ex prednisone, solumedrol etc)
EXTRA QUESTION JUST FOR YOU:
What other factors can cause an increase in a diabetic patient's blood glucose?
TRUE or FALSE-The nurse should instruct the client to continue his usual daily dose of insulin during illness
TRUE
An autoimmune process involving beta cell destruction resulting in insulin deficiency
Type 1 DM
Why is tight glycemic control not always GOOD for geriatrics?
Hypoglycemia can lead to cardiac events
What two class of BP medications are considered renally protective
ARB, ACEI
NovoLog 70/30 peak time
1 to 3 hours after administration
__________ is stimulated by cellular dehydration from the hyperglycemia pulling intracellular fluid into the circulating volume.
Polydipsia
> THAN 90% OF DM
TYPE 2 DM
Plasma glucose fasting (no caloric intake for equal to or greater than 8 hours) equal to or greater than ____________mg/dL for dx
126
A1C GOAL For older adult the goal is less than ____%. Why?
8%
Lantus is what type of insulin
long acting (REVIEW, STUDY, REVIEW....SO IMPORTANT)
condition resulted when my body tried to break down and use my stores of fats
KETOSIS
REVIEW/MEMORIZE LABS FOR DKA
TRUE/FALSE-GDM usually goes away after the woman gives birth
FALSE!!!!!! Can develop type 2 DM LATER ON
A1c equal to or greater than __________% (can be done in the absence of fasting; provides a _________- month look back at glycemic control)
6.5%
Insulin resistance with eventual insulin deficiency.
Type 2 DM