Medical terminology
HHNS presentation
Insulin
Interventions
Nursing Management
100

Frequent urination

Polyuria

100

Which type of diabetes is it more common in?

Type 2 diabetes

100

Type of insulin given before meals

Short acting insulin

100

Your patient has hypovolemia.

Give Fluids

100

What 3 things will you monitor in the bloodwork and urine>

K, BG, ketones in the urine

200

Increased thirst, drinking frequently 

Polydipsia

200

How fast is the onset?

Gradual, days.

200

What is the peak of action for long acting insulin?

There isn't a peak for long acting insulin.

200

Your patient has hyperglycemia.

Give insulin, IV

200

What 3 medications would you expect to administer for HHNS

Fluids, Insulin, Potassium

300

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.

300

Typical blood glucose reading for HHNS

>600

300

How often do you give long acting insulin?

Once, maybe twice daily, depending on the order.

300

Your patient has hypokalemia.

Give Potassium

300

What organ are you monitoring when you insert a foley?

Kidneys, renal system

400

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.

400
Typical blood pressure for HHNS

Hypotension

400

What is the onset of rapid acting insulin? (How long does it take)

15 Minutes

400

Your patient is confused.

Fall precautions

400

What organ are you monitoring when you place an EKG or a telemetry monitor?

Heart, cardiac system

500

Increased hunger

Polyphagia

500

Typical blood volume for HHNS

hypovolemia, dehydrated

500

What do you have to ensure the patient will do before giving short or rapid acting insulin?

Eat scheduled meal.

500

Your patient's K+ is off, what do you monitor?

Heart rhythm, telemetry

500

What are you assessing when you ask for a name, date and where the patient is?

level of conscious

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