Frequent urination
Polyuria
Which type of diabetes is it more common in?
Type 2 diabetes
Type of insulin given before meals
Short acting insulin
Your patient has hypovolemia.
Give Fluids
What 3 things will you monitor in the bloodwork and urine>
K, BG, ketones in the urine
Increased thirst, drinking frequently
Polydipsia
How fast is the onset?
Gradual, days.
What is the peak of action for long acting insulin?
There isn't a peak for long acting insulin.
Your patient has hyperglycemia.
Give insulin, IV
What 3 medications would you expect to administer for HHNS
Fluids, Insulin, Potassium
Glycogenolysis
This is the process of breaking down glycogen (stored glucose) into glucose molecules, primarily occurring in the liver and muscle cells to provide energy when needed.
Typical blood glucose reading for HHNS
>600
How often do you give long acting insulin?
Once, maybe twice daily, depending on the order.
Your patient has hypokalemia.
Give Potassium
What organ are you monitoring when you insert a foley?
Kidneys, renal system
Insulin resistance
A condition where the body's cells become less responsive to insulin, meaning it doesn't effectively utilize glucose from the blood, leading to high blood sugar levels.
Hypotension
What is the onset of rapid acting insulin? (How long does it take)
15 Minutes
Your patient is confused.
Fall precautions
What organ are you monitoring when you place an EKG or a telemetry monitor?
Heart, cardiac system
Increased hunger
Polyphagia
Typical blood volume for HHNS
hypovolemia, dehydrated
What do you have to ensure the patient will do before giving short or rapid acting insulin?
Eat scheduled meal.
Your patient's K+ is off, what do you monitor?
Heart rhythm, telemetry
What are you assessing when you ask for a name, date and where the patient is?
level of conscious