Suddenly I see
Vision changes for cataracts
blurry, glares at night, opacities
Best way to minimize hearing loss?
noise control/avoiding prolonged loud volumes
common test for diagnosing type 2 diabetes (looks at BG over 90 days)
Hemoglobin A1c
what type of insulin can be given IV or by pump?
regular (ex. Humalin R- Novolin R)
what should the nurse assess after administering IV glucose?
assess for hyperglycemia
Vision change; SE of diabetes
Retinopathy
Bonus: what is the associate vision change with retinopathy? what about retinal detachment?
nursing care for Meniere's disease
dim lights, fall precautions, position changes (have them lay down)
sx of type 1 dm
dry mouth with extreme thirst, 3 p's, dark urine, BG 500
IV insulin drip
Bonus: what type of insulin will be run via IV drip?
what precautions should the patient be in after eye surgery?
fall precautions
Vision change with POAG
loss of peripheral vision; gradual and progressive changes
how to talk to a patient with hearing loss
speak slow, face client, minimize distractions, raise volume (sometimes; not always helpful), enunciate
sx hypoglycemia
shaky, irritable, fatigue, slurred speech and decrease alertness...(etc)
"cold and clammy give some candy"
What will the nurse do with a mealtime BG at 300?
Administer sliding scale insulin
Do we need to call the dr?
What is the significance of a patient reporting a "curtain falling over vision"?
emergency; retinal detachment
Sx of angle closure glaucoma
severe eye pain, halos and reddened vision; sudden onset
sx of conductive hearing loss
frequent history of ear infections and seasonal allergies, tubes in ears as child, needs ears flushed regularly
foot edu for chronic diabetic
proper footware, check feet daily, see a podiatrist- no self care, no heating pads, keep clean and dry
education for a diabetic patient when they are sick
check sugars frequently; eat or insulin accordingly
Bonus: when should they notify provider?
what can cause a rise in IOP?
coughing, sneezing, vomiting, bending at the waist
What condition is marked by loss of central vision?
Age-related macular degeneration
sx of menieres dx
vertigo, n/v, nystagmus
Things that cause hypoglycemia?
too little food, too much insulin, excessive exercise, etc.
what is included with metabolic syndrome?
High triglycerides, high LDLS, low HDLs, high insulin with cellular insulin resistance
Blood glucose= 52, diabetic snack given, reassessed BG= 62: what should RN do next?
give more simple carbohydrates