Show:
PATHO/RISK
DIAGNOSTICS
MANIFESTATIONS
NURSING DX/CARE
MEDICAL/PC/RX
100
FBS of 100-120 mg/dl
What is pre-diabetes?
100
HgbA1c
What is glycosolated hemoglobin? Measurement of averages glucose over 3 months span.
100
3 P's of diabetes
What is polydipsia, polyphagia, polyuria? Classic intitial signs in Type I and Type II diabetes.
100
Common nursing diagoses for diabetes
What is potential for impaired skin integrity, Risk for injury, Knowledge deficit, Non-compliance, Altered nutrition, Altered tissue perfusion, Pain, Altered health maintenance, Risk for infection, Risk for FVD, Sexual dysfunction, Powelessness, Fear, Anxiety, Situational low self esteem, Social isolation, etc, etc, etc,
100
Common neurovascular potential complications
What is retinopathy, peripheral and gastrointestinal neuropathy, necrotic foot ulcers, CVD (stroke), neurogenic bladder & bowel, ESRD
200
Islets of Langerhans
Where is insulin produced?
200
60-110 mg/dl
What is the normal fasting blood glucose range?
200
Manifestations of hypoglycemia
What is cold and clammy skin, need some candy? Also blurred vision, shakiness, anxiety.
200
Intervention for hypoglycemia Causes of hypoglycemia
What is administer 15 G carbs, retest glucose in 15 minutes? What is too much exercise, too much insulin, insuficient food intake?
200
Medical emergency r/t hypoglycemia?
What is seizures, coma, death?
300
Risk factors for diabetes
What is obesity, HLD, HTN, sedentary lifestyle, high fat diet
300
Criteria for dx of Type II diabetes
What is FBS over 126 mg/dl or 2 hr post pranial glucose over 00 mg/dl?
300
Manifestations of hyperglycemia
What is hot & dry skin, sugar high? Also fruity (acetone breath), acidosis, nausea, vomiting, s/s dehydration
300
Nursing intervention for hyperglycemia
What is adminster insulin (sliding scale), hydrate, monitor and replace K+
300
Potential complications of hypeglycemia
What is DKA (Type I, BS over 300, sudden, positive ketones in urine), HHNS (Type II, BS over 800, gradual, negative ketones in urine)
400
Causes of hyperglycemia
What is not enough production of insulin and too much glucose in blood
400
Abnormal urinalysis findings in diabetic
What are ketones and protein in urine?
400
Dawn Phenomenon
What is elevated blood sugar at dawn? R/t insufficient HS insulin.
400
Diabetic teaching for IDDM
What is rotation of site, schedule, sliding scale coverage, BGM, sick days, foot care, hyper/hypo management, dietary, alcohol moderation?
400
Peak insulin times
What is 15-30 min for rapid release (Humulog, asparte) Also 30-60 min for short-acting (regular) , 1-4 hours for intermediate (NPH, Lente), 4-8 hours for long-acting (Ultralente).
500
Types of diabetes
What is Type 1, Type II , gestational, mature metabolic onset, drug-induced?
500
Renal function serum tests indicating poor glucose control
What is elevated serum creatinine levels? GFR, CC, BUN
500
Numbness & burning of feet and legs
What is peripheral neuropathy?
500
Diabetic foot assessment
What is assessment for excessive dryness, sole of foot, moisture between toes, corns, calluses, nails, sensory loss, ROM, circ (CPR, temp, pulse, hair, pain)?
500
Potential complication of peripheral neuropathy
What is diabetic ulcers, gangrene, amputation, vascular impairment?