Meds
Short-acting insulin (regular insulin) peak.
What is 2-3 hours?
This condition is characterized by an absence of insulin production by the beta cells in the islets of Langerhans of the pancreas.
What is Type 1 DM?
This condition is characterized by insulin resistance or insufficient insulin production.
What is Type 11 DM?
Deep labored breathing that attempts to remove excess carbon dioxide.
What is kussmals respirations?
Unlike Diabetic Ketoacidosis (DKA) HHNS or HHS lacks the presence of what?
What is Ketone bodies, ketones in urine, or ketoacidosis?
Common side effects of ____________are
"diarrhea, gas, and stomach ache.
What is Glucophage (Metformin)?
Excessive thirst, frequent urination, dry skin, very hungry, sleepy blurry vision, infections or injuries that heal slower than usual
What are the signs and symptoms of Hyperglycemia or high blood glucose?
First-line medication for new T2 diabetics.
What is Glucophage (metformin)?
Treatment goals for DKA.
What is reducing the BG levels- correct fluid and electrolyte imbalances- clear the urine and blood of ketones?
For both DKA and HHS the first line of treatment is.
What is IV Hydration with 0.9% NSS?
A side effect of insulin therapy.
What is hypoglycemia/weight gain?
Medical management of Type 1 DM>
What is diet and weight loss- exercise- insulin- pancreas transplant- islet cell transplant?
The ABCs of Type II diabetes control.
What is managing and controlling HBA1C, BLOOD PRESSURE, & CHOLESTEROL LEVELS?
These are metabolic by-products of fat metabolism.
What are ketones
Key signs and symptoms of HHNS.
Hyperglycemia
Altered mental status -drowsiness, lethargy
Severe dehydration
Partial paralysis or muscle weakness
Visual or sensory deficits or seizures
Glargine is what type of Insulin?
What is Long-acting insulin?
Shaky, fast heartbeat, sweaty, dizzy, anxious, hungry, blurry vision, weak, tired, headache, nervous, upset, or confusion
What is HYPOglycemia or low blood glucose?
The diagnostic criteria for metabolic syndrome.
What is Obesity, Hypertension, Hypertriglyceridemia, Low HDL, Hyperglycemia (Insulin resistance)?
pH < 7.35.
What is acidosis?
The blood glucose level is characteristic of hyperglycemia in HHS.
What is >650 mg/dL?
This insulin has a 6-8 hour peak.
What is NPH insulin?
Feeling pins and needles in hands and feet, sensitive to touch, numbness, burning, stabbing pain in feet and hands
What is neuropathy?
A client is first admitted with hyperglycemic hyperosmolar nonketotic syndrome (HHNS), the nurse’s priority is to provide:
What is rehydration?
3 diagnostic criteria for DKA.
What is Hyperglycemia, Ketone positive blood and/or urine, & Acidosis with pH < 7.3 or bicarb < 15mmol/L
The 3 treatment options for HHS.
What are
Fluids
Insulin
Correction of electrolytes?