Insulin
Insulin, in general, does what to your blood glucose levels?
Lowers it!
This is considered "insulin resistant" in healthcare.
Type-2 Diabetes
Bloody urine is documented as: ________.
Hematuria.
A fasting BG @ 8hrs of 120 indicates what?
This patient is considered Pre-Diabetic.
The RN should recommend and support how much daily water intake?
1-2L/day
Your patient has a BG of 300; which insulin type is most appropriate? (Lantus, Humalog, or NPH)
Humalog! This is the only rapid acting insulin option listed.
The 3 P's of Diabetes Includes:
Polyuria (pee a lot); Polydipsia (increased thirst); and Polyphagia (increased in appetite/eating).
This structure carries urine from the kidney to the bladder.
Ureter.
An A1C of 6.8 indicates what?
This patient is a full Diabetic.
What electrolyte should the RN carefully monitor when beginning an insulin drip?
Potassium!
You understand that the onset of action time for Humulin-N is about _____.
4-hours.
What % of your diabetic patient's diet should include fats?
About 30% ~ try to limit saturated facts to about 10% however; and keep total daily cholesterol to < 300mg.
This is considered the BEST indicator of kidney function or injury.
Creatinine (Cr) ~ which is about 1.0-1.4
The blood osmolality value of your patient is 325; with a BUN 30 and Cr 3.2; this is likely:
Diabetic KetoAcidosis (DKA)
What should the RN do to care for a renal patient prior to getting a CT with contrast done?
Observe all renal lab values to determine if patient can tolerate contrast, as this is hard on the kidneys to clear from the body. Speak with provider about concerns.
When you have a cloudy & clear insulin to administer; which order will you draw up in the syringe for administration?
Clear FIRST, THEN Cloudy.
Your diabetic patient wishes to start an exercise regimen; what education element do you include?
The Bowman's Capsule are primarily responsible for…..?
FILTRATION!
Your patient's BG is 65; you give 8oz of orange juice - then wait 15min. BG is now 68. What is your next action as the RN?
Give another 8oz of juice. Then retest BG in 15-min.
This condition presents with: massive proteinuria, hypoalbuminemia, edema, & hyperlipidemia.
Nephrotic Syndrome
What is the best administration site for insulin on the body?
Within 2-inches of the umbilicus.
Your patient is unresponsive; BG test shows a reading of 45. What is the next best action.
Initiate hypoglycemic protocol; begin with IM Glucagon (1mg dose)
Your tech/CNA reports they forgot to add the most recent urine sample to the 24-hr collection container in the patient's bathroom. What is then next best action?
The 24-hr sample is VOIDED; the cycle must be restarted. Dispose of all collected urine at this time. Start over!
Your patient has a urine specific gravity of 1.025; this likely indicates what?
Your patient is dehydrated and retaining water. Poor kidney function could be responsible for this.
What is the best treatment for nephrosclerosis?
Aggressive anti-HTN medication therapy!