ORANGE
________ Is when Arterial pH <7.3 and/ or Bicarbonate <18 mEq/L
•Insulin initiation:
Insulin dose depends on several factors including type of diabetes, degree of prior and current hyperglycemia, weight/BMI, age, nutritional status, renal/liver function. TRUE OR FALASE
TRUE
In the insulin teaching process, what is the next step after removing the insulin from the Pyxis?
What does the number 8760 represent in the context of diabetes?
Refers to the number of minutes in a year a patient deals with diabetes
CHARACTARISTICS
Severe relative insulin deficiency, resulting in
Profound hyperglycemia
No significant ketone production or acidosis
Develops over days to weeks
Higher mortality rate
HHS
TRUE OR FALSE
Hold or reduce nutritional insulin if carbohydrate source is stopped.
TRUE
Per the Hypoglycemia protocol, what is the treatment if the blood sugar is less than 54mg/dl.
240ml juice or 8oz juice
7.5oz non-diet soda
When during pregnancy does insulin resistance increase d/t placental hormones?
second and third trimesters
Plasma glucose >600 mg/dL
Arterial pH >7.3 and/ or Bicarbonate >15 mEq/L
Serum osmolality >320 mosm/L
Minimal ketonuria and ketonemia
HHS
TRUE OR FALSE
For NPH insulin, the AM NPH dose is reduced by 5% on the day of the surgery. No changes to the PM NPH dose.
Why is the concept of SLIDING SCALE insulin strongly discouraged?
What do we use instead?
Sliding scale is reactive.
Correction insulin is proactive
Holding basal insulin for a patient with Type 1 Diabetes can lead to what?
DKA
CLINICAL/PHYSICAL PRESENTATION OF ______
•Kussmaul respirations
•Fruity breath
•Relative hypothermia
•Tachycardia
•Supine hypotension, orthostatic drop of blood pressure
•Dry mucous membranes
•Poor skin turgor
DKA
Why is 70/30 insulin not usually used in the hospital?
Risk of hypoglycemia, timing of the medication, must eat 3 meals/day
TRUE OR FALSE
For Lantus insulin, the dose is reduced by 5% either the night prior or morning of surgery.
FALSE. 25%
If new DKA occurs during admission, Medicare will not reimburse. True or False
TRUE
What is the ideal blood sugar target range for non-critical medical/surgical units.
Maximal- less than 180
What are the ADCES 7 Self-Care Behaviors?
Healthy Eating, Being Active, Monitoring, Taking Medication, Reducing Risks, Problem Solving, Healthy Coping
How long was the longest fast by a human?
382 Days