What is the name of the lab that measures the average blood glucose level from the previous 8-12 weeks?
A1C
S&S of hypoglycemia in a DM type 1 pt are?
Hungar and Trembling
when educating a new DM pt the main goal is?
To teach self management skills
What is the best time to administer Lispro?
within 10-15 mins of eating
What disorder is a long term complication to DM?
Renal Failure
What is the mechanism of action of the medication Glyburide?
It stimulates insulin production and increases sensitivity to insulin receptor sites
How do sulfonylureas with a pt who has DM type 2?
Stimulates the pancreas to secrete insulin.
the nurse explains in type 2 DM the body still makes insulin but ___________?
the cells become resistant to the action of insulin
Lispro has an onset action of?
15 mins
When drawing up Lispro and NPH in the same syringe, which medication do you draw up first?
Draw up Lispro first then NPH. Clear medication first then cloudy medication.
The nurse is doing education with pt in regard to excessive exercise the nurse knows to tell them _______?
It can decrease the need for insulin and could result in hypoglycemia.
Type 1 DM pt are always hungry because_____
Their cells cannot use the blood glucose
Diabetes insipidus is caused by a deficit in which hormone?
Antidiuretic Hormone
If a pt took lispro at 1630. What time would this pt shows sign of hypoglycemia?
1830. Lispro is a short acting insulin that last usually 2-4hrs
A 100unit syringe is marked in_____?
2 unit increments
DKA is a life-threatening condition characterized by?
A disorder of carbohydrates, fats, and proteins metabolism.
What is the peak time for NPH insulin?
4-10hrs
For a DM pt who is NPO and showing signs of hypoglycemia, the nurse knows to administer ________?
glucagon sub Q
A type 1 DM pt is trembling, drowsy, and their skin is cool and moist. The nurse knows this pt is showing signs of ________ and quickly provides what nursing intervention?
Hypoglycemia and 6oz of OJ
The nurse administers insulin at ________to prevent lipohypertrophy?
Room temperature