hypoglycemia
not enough glucose for circulating insulin
insulin reaction
give this med to a dysphagic pt.
SQ glucagon
this should be eaten after an episode ot prevent reoccurrence
complex carb
byproduct of fat breakdown during insufficient insulin
ketones
BG increases with decreased fluid intake
hyperosmolar hyperglycemia state (HHS)
how hypoglycemia is defined
BG<70
med given in ICU
IV 50% dextrose
anticonvulsants used to treat neuropathy
gabapentin, pregabalin
process in which the body blows of excess CO2
kussmaul respirations
in DM2 this usually does not occur because some insulin is being produced
DKA
this can occur with repeated low BG
neurologic damage
time BG rechecked after initial treatment
15 min
impaired circulation leads to
slow healing, infection
breath odor during ketoacidosis
fruity
s/s of HHS
thirst, lethargy, confusion
hunger, sweating, palpitations, H/A
s/s of hypoglycemia
lowest acceptable level of BG
70mg/dl
result of polyuria as this element leaves cells and enters bloodstream
hypokalemia
prevention of HHS includes
drinking fluids during stress/illness
15 to 20 Gm of OJ, soda, hard candy
fast sugar
how often BG protocol repeated until WNL
repeat Q15min
s/s of ketoacidosis
flu sx, abd. pain, vomiting, increased resp., polyuria
3 Dx medicare considers preventable
ketoacidosis, HHS, hypoglycemia