Nursing Care
What is the hormone injection that type 1 diabetics require?
Insulin
Diabetes medications may lower blood glucose levels?
True or False
True
What is the short-term complication that rapid intake of sugar corrects?
Hypoglycemia
What improves your body’s use of insulin, blood sugar and fat?
Exercise
What does QC stand for?
Quality Control
Pathophysiologically what is the difference between type 1 and type 2 diabetes?
The pancreas continues to produce insulin.
There are more than ______ types of insulin sold in the United States. These insulins differ in how they are made, how they work in the body, and how much they cost.
20
What is the term for elevated blood glucose levels?
Hyperglycemia
What amount of daily physical activity is recommended?
30 minutes
In a hospitalized patient, hyperglycemia is a blood glucose level greater than what?
140
How often should a diabetic on an NPO diet have their blood glucose checked?
Q6HRS
What type of insulin cannot be mixed in a syringe with other types of insulin?
Lantus or long-acting insulin
Obesity, family history, poor diet, and lack of adequate physical activity put people at risk for a high chance of developing what?
Type 2 Diabetes
What simple lab test can be used as a guide for monitoring average glucose levels?
A1C
In the hospital blood glucose monitoring devices must be shared, you should clean and disinfect it after every use following the manufacturer's instructions to prevent carryover of blood and infectious agents. How long should the monitor dry before using it on the next patient? (Based on drying time of PDI and Clorox wipes)
2 minutes for PDI and 3 minutes for Clorox
What are appropriate site of subcutaneous insulin injection?
The abdomen and upper arms.
When giving metformin it is important that the patient be monitored for issues pertaining to what organ?
Kidneys- especially when they have received IV contrast
What are 4 signs and symptoms of DKA?
What patient education should be provided regarding their feet?
Teach the patient to regularly inspect both feet for cuts, cracks, blisters, and red, swollen areas and to use a mirror to check the soles, as needed. Inform the patient that even slight cuts on the feet should receive a practitioner's attention.
After opening the glucometer test solution on 1/1/22 what should you write on the solution? The manufacturer’s expiration is 9/31/22.
Exp. 3/31/22
All bottles of control solutions will be labeled with expiration date 90 days from open date or manufacturer’s expiration date, whichever is earlier.
What should you do if you find an unresponsive patient with a pulse and unlabored respiratory rate of 12?
Call an RRT, obtain a set of vitals including a blood glucose, and stay with the patient.
It is lunch time and your patient’s blood glucose is 264. Your patient has an order for Humalog 3 units at mealtime with sliding scale. The sliding scale is as shown below, what is the total does of Humalog that your patient will receive?
[Less than
70: Initiate Hypoglycemia Standing Orders]
[71-140: 0 units]
[141-180: 6 units]
[181-220: 8 units]
[221-260: 10 units]
[261-300: 12 units]
[301-350: 14 units]
[351-400: 16 units]
[Greater than 400: 18 units and Call Physician]
15 units
What are long-term complications of uncontrolled diabetes? Minimum of 5.
Retinopathy, kidney disease, neuropathy, cardiovascular disease, and poor wound healing and amputation.
What range is considered a healthy BMI?
19-25
What should you do if you obtain a blood glucose less than 40 or greater than 450?
Repeat the test. If the value remains critical, order Stat glucose from Laboratory and notify physician/ nurse.