NUR 246 Unit 2

Sweet like Sugar

100

why is it important for non DM patients to stay on insulin therapy

promote healing and maintain BG within normal limits

200

sick day protocol for a diabetic

regular sugars, do not take insulin if not eating, monitor for sx of DKA or HHS

300

A type two DM patient is on a GLP-1 antiglycemic agent. HgA1C is 9. what is the next step in the medication regimen?

SGLT-2

400

Diabetic scheduled for surgery. scheduled for a long acting and short acting insulin. what should nurse do?

give long acting insulin and hold short acting insulin

500

Nursing interventions post IV amp of glucose for hypoglycemia protocol

recheck sugar 15 minutes later, assess sx of hyperglycemia

Too sweet to handle

100

Steps to decrease complications in diabetes

Take BG regularly (as scheduled and prn), take oral antiglycemics as ordered, 

200

Patient education for new DM to prevent microvascular complications

eye examination asap, report neuropathic changes in hands and feet, and monitor urine output and kidney function

300

sx of DKA

Fruity breath, extremely thirsty, hungry, dry mouth, tachycardia, HA, N/V, BG approximately 500 (type 1 DM)

400

sx HHNS

BG >600, confusion/delirium, thirsty, hungry, frequent urination, blurred vision (type 2)

500

Patient education for type 1 DM patients to prevent DKA

keep candy on hair, exercise when sugars are stable, eat protein and carbs while exercising, avoid exercise when ketones are present in urine.

Ouch, my head

100

sx cluster head ache

unilateral head, pain behind one eye

200

treatment for a patient with a tension head ache

muscle relaxants

300

sx of migraine

photophobia, phonophobia, vision changes, nausea/vomiting (emesis), stiff neck, throbbing temples, unilateral head pain, sensory aura

400

diagnostics for HA

CT scans, Labs: electrolytes, neurologic exam, response to Ketorolac and IV fluid bolus

500

treatment for migraine

rest in quite dark room, sumatriptan (Imitrex)

MS

100

symptoms of MS

fatigue, muscle weakness, dysphagia, sensorineural changes, double vision, etc. 

200

physical assessment of a new MS patient, what part of health hx should the nurse ask about

history of urinary tract infections, bladder spasms, urinary incontinence

300

Diagnostics for MS

MRI, rule out other conditions, spinal fluid analysis

400

patient education for β-interferon

report flu-like symptoms

500

What is an example of motivational interviewing for a patient with a new diagnosis of MS?

 

PD

100

Parkinson's dx is marked by a deficiency of ____, which helps with smooth movements and muscle coordination

dopamine

200

Dietary considerations for PD patients

at risk of nutritional deficit with impaired swallowing, avoid high protein, cut food into small pieces, may require thickened liquid diet

300

Assessment findings for a patient on too much carbidopa/levodopa (Sinemet)

uncontrolled muscle movement (i.e. head bobbing, muscle spasms)

400

sx for PD

motor: shuffling gait, pill-rolling, stooped posture, tremors worse with voluntary movement, non motor: nightmares, mask-like affect

500

During a home health visit for a PD patient, what are considerations for patient's plan of care at home

falls precautions: no throw rugs, elevated toilet seats, pair rest and activity, wear protective shoes, use assistive devices