This type of Diabetes occurs as a result of the progressive destruction of beta cells within the pancreas leading to hyperglycemia
What is Type 1 Diabetes Mellitus
100
Is a condition that occurs when your blood sugar (glucose) is below 70 mg/dL due to an excess of insulin in the circulatory system
What is Hypoglycemia
100
Due to a deficit of this hormone in the body a synthetic form is injected subcutaneously in order to reduce blood glucose
What is Insulin
100
This is an appropriate intervention for a conscious patient with a blood glucose level of 20-40 mg/dL
What is 15 grams of fast acting carbohydrate
100
A person with diabetes should have yearly eye exams with dilated pupils to assess for this complication
What is Retinopathy
200
This is when an individual has a fasting blood glucose of 110-124 mg/dL
What is Impaired fasting glucose
200
This can occur when a person takes insulin or diabetes medicine at the wrong time, taking too much insulin or diabetes medicine by mistake, skipping meals, waiting to eat your meals, and exercising more or at a different time than usual
What are the common causes of hypoglycemia
200
This drug decreases hepatic glucose production, decreases intestinal absorption and increases peripheral glucose uptake and utilization by improving insulin resistance
What is Metformin (Glucophage)
200
This is a paramount nursing intervention and responsibility that leads to increase patient understanding of diabetes and the disease process that will lead to less complications of diabetes and more positive outcomes
What is Patient education
200
Urine and creatinine ratio are important lab values for people with diabetes as an assessment for this complication
This drug cannot be given if renal function is less than 30ml/min or the patient also has heart failure
What is Metformin
300
This drug causes insulin release by stimulating functional beta cells in the pancreas and increases the sensitivity of receptor sites.
What are sulfonylureas and meglitinides
300
A patient presents with a blood glucose of 25mg/dL in an unconscious state, this is an expected request if the doctor that the nurse can prepare for in order to raise blood glucose fast
What is glucagon administration
300
This complication is characterized by breathlessness, fruity odor of the breath, flushed face, rapid pulse, dehydration and abdominal pain
What is Diabetic Ketoacidosis
400
This is a life threatening syndrome that produces enough insulin to prevent diabetic ketoacidosis but not enough to prevent severe hyperglycemia, severe dehydration; ketones are absent in blood and urine
What is Hyperosmolar Hyperglycemic Non-Ketotic Syndrome (HHNS)
400
This lab value is an indicator of long term glucose control
What is HbA1C
400
This insulin needs to be given 15 minutes prior to meals
What is Lispro (fast acting insulin)
400
This complication is controlled or prevented through lifestyle modification focusing on the reduction of saturated fat, and cholesterol intake; increase of omega-3 fatty acids, viscous fiber; weight loss; increased physical activity
What is Dyslipidemia
400
This causes the loss of sensory acuity to painful stimuli, thereby decreasing the patients perception of discomfort and the likelihood of initiating protective responses
What is Neuropathy
For 100 bonus pts: Give an example of patient education you would provide for this complication.
500
This is a condition in which body tissues do not respond to the action of insulin due to insulin receptors that are unresponsive or insufficient in numbers
What is Type 2 Diabetes
500
These are the three most important client teaching topics for the Client that needs to manage diabetes more effectively
What is blood glucose, exercise, nutrition
500
This type of insulin requires a consistent dietary routine including snacks to avoid hypoglycemia. The onset of action is 30-60 minutes and it's duration of action is 10-18 hours
What is 70/30 Insulin
500
A patient is found in an unresponsive state with a POCT blood glucose of 554mg/dL. This is the path of critical thinking a nurse is expected to know and plan for a Hyperglycemic episode.
What is assess ABC's, notify physician, prepare for possible code, prepare for stat insulin administration.
500
The extra cellular accumulation of this causes a thickening of the basement membranes between tissues and around blood vessels, resulting in the impairment of microcirculation and increased cellular damage
What is Glucose
100 Bonus points: List the microvascular complications