INSULIN
ONSET IS 15-30 MINUTES
WHAT IS RAPID-ACTING INSULIN (LISPRO INSULIN)
AT A HIGHER RISK FOR UTI
WHAT ARE FEMALES AND ELDERY?
THIS TYPE OF DIABETES IS CHARACTERIZED BY AUTOIMMUNE DESTRUCTION OF PANCREATIC BETA CELLS
WHAT IS TYPE 1 DIABETES?
PATIENTS SHOULD ROTATE INJECTION SITES TO PREVENT THIS COMPLICATION, WHICH AFFECTS INSULIN ABSORPTION.
WHAT IS LIPOHYPERTROPHY (OR LIPODYSTROPHY)?
THIS IS THE MEDICAL TERM FOR A BLADDER INFECTION
WHAT IS CYSTITIS?
2-4 HR
WHAT IS THE PEAK OF SHORT-ACTING INSULIN?
FREQUENCY AND URGENCY
WAHT ARE SYMPTOMS OF UTI?
YOUR PATIENT IS DIAPHORETIC, SHAKY, ANXIOUS, AND REPORTS FEELING LIGHTHEADED. THESE ARE SIGNS OF THIS GLUCOSE EMERGENCY.
WHAT IS HYPOGLYCEMIA?
NAME 3 WAYS TO PREVENT UTI
INCREASE FLUID INTAKE, WIPE FRONT TO BACK, AVOID SITTING IN WET BATHING SUITS
KUSSMAUAL RESPIRATIONS, FRUITY BREATH ODOR, AND CONFUSION ARE CLASSIC SIGNS OF THIS DIABETIC EMERGENCY
WHAT IS DKA?
DURATION IS 14-24 HOURS
INFLAMMATION AND INFECTION OF THE KIDENY
WHAT IS PYELONEPHRITIS?
METFORMIN (GLUCOPHAGE) BELONGS TO THIS DRUG CLASS AND WORKS BY DECREASING HEPATIC GLUCOSE PRODUCTION
WHAT ARE BIGUANIDES?
A PATIENT ASKS, "WHEN SHOULD I CHECK MY FEET?" THE EVIDENCE-BASED ANSWER IS THIS.
WHAT IS "DAILY"?
WHEN PERFORMING CATHETER CARE, THE NURSE SHOULD CLEAN THE CATHETER AND PERINEAL AREA WITH SOAP AND WATER MOVING IN THIS SPECIFIC DIRECTION TO PREVENT INTRODUCING BACTERIA.
WHAT IS "FRONT TO BACK"?
ONSET IS 2-4 HOURS
WHAT IS LONG-ACTING OR INSULIN GLARGINE?
TURNS URINE ORANGE
WHAT IS PHENAZOPRIDINE (PYRIDUM)
YOUR PATIENT WITH TYPE 2 DIABETES IS NPO FOR SURGERY. STATE 2 IMPORTANT CONSIDERATIONS FOR THEIR DIABETES MANAGEMENT.
WHAT ARE "HOLD ORAL DIABETES MEDICATIONS" AND "MONITOR BLOOD GLUCOSE CLOSELY"? (MAY NEED ADJUSTED SLIDING SCALE INSULIN, RISK FOR HYPO OR HYPERGLYCEMIA)
WE WANT TO TEACH THIS TO A PATIENT THAT IS TAKING FLUOROQUINOLONES OR SULONAMIDES
WHAT IS APPLY SUNSCREEN?
YOUR PATIENT IN DKA IS RECEIVING IV REGULAR INSULIN AND IV FLUIDS. YOU NOTICE THEIR POTASSIUM LEVEL IS 3.2 MEQ/L (LOW). APPLY CLINICAL JUDGEMENT: WHAT IS YOUR PRIORITY ACTION AND RATIONALE?
WHAT IS "NOTIFY PROVIDER BEFORE CONTINUING INSULIN?" (RATIONALE: INSULIN DRIVES POTASSIUM INTO CELLS, FURTHER LOWERING SERUM K+ AND RISKING CARDIAC ARRHYTHMIAS)
INSULIN LISPRO ONSET, PEAK, AND DURATION
ONSET: 15-30 MINUTES
PEAK: 0.5-3 HOURS
DURATION: 3-5 HOURS
NAME 5 SYMPTOMS OF PYELONEPHRITIS
CHILLS, HEADACHE, FATIGUE, N/V, DYSURIA AND URGENCY, CVA TENDERNESS,FEVER
USING CONCEPT-BASED TEACHING, CONNECT DIABETES (METABOLISM) TO THESE 3 INTERRALTEE CONCEPTS (PERFUSION, TISSUE INTEGRITY, AND INFECTION) AND EXPLAIN 1 TEACHING POINT FOR EACH
WHAT ARE:
-PERFUSION: CHECK BP REGULARY (CARDIOVASCULAR COMPLICATIONS)
TISSUE INTEGRITY: INSPECT FEET DAILY (NEUROPATHY/POOR WOUND HEALING)
-INFECTION: MONITOR WOUNDS CLOSELY (HYPERGLYCEMIA IMPAIRS IMMUNE FUNCTION)
YOU'RE TEACHING A PATIENT ABOUT METFORMIN (GLUCOPHAGE). YOU EMPHASIZE THEY SHOULD STOP TAKING IT AND NOTIFY THEIR PROVIDER IF THEY NEED THIS TYPE OF DIAGNOSTIC TEST
WHAT IS A CT SCAN WITH IV CONTRAST? (RATIONALE: RISK OF LACTIC ACIDOSIS AND AKI)
YOUR PATIENT WITH PYELONEPHRITIS DEVELOPS HYPOTENSION, ALTERED MENTAL STATUS, AND ELEVATED LACTATE. WHAT IS THIS COMPLICATION AND 2 NURSING PRIORITY INTERVENTIONS
WHAT IS UROSEPSIS (OR SEPTIC SHOCK)?
OBTAIN BLOOD CULTURE BEFOR ANTIBIOTICS
ADMINISTER IV ANTIBIOTICS STAT
INITIATE IV FLUID RESUSCITATION
MONITOR VS CONTINUOUSLY
ASSESS FOR SIGNS OF SHOCK
NOTIFY PROVIDER/ACTIVATE SEPSIS PROTOCOL