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Inpatient diabetes Management
The World of Insulin
How Sweet it is!
How Low Can You Go?
Insulin to Carb Ratio
100
The goal for inpatient blood glucose results
What is 140-180?
100
The half-life of IV Insulin
What is 6-10 minutes?
100
Is the primary condition in the body in both diabetic ketoacidosis (DKA) and hyperosmolar hyperglycemic syndrome (HHS) aside from high blood sugar.
What is dehydration?
100
Two things that can precipitate a low blood sugar.
What are not enough carbohydrates, alcohol ingestion, exercise, too much insulin, and/or kidney failure?
100
An insulin to carb ration order replaces this insulin dose.
What is the fixed meal-time dose?
200
According to the American Diabetes Association, this is a blood sugar result which is considered too low
What is less than 70?
200
The time frame for the peak of rapid acting insulin administered sub-q.....
What is 30-90 minutes?
200
the amount of time IV insulin is continued after DKA has cleared and SQ insulin has been given.
What is at least 60 minutes?
200
This is the best method of treating a low blood sugar.
What is giving/taking 15 grams of a quick-acting carbohydrate?
200
A young 25 year old male states he is having his girlfriend bring him some “real food” from McDonalds. You figure out the carbohydrates grams he is consuming by……….
What is looking up the online fast food restaurant’s nutritional information? (Or what is contact a dietician or the diabetes educator for assistance?)
300
You should wait this long before repeating a glucometer test after treatment for hypoglycemia
what is 15 minutes?
300
Name two (2) basal insulins.
What are Levemir (Detemir), NPH, & Lantus (Glargine)?
300
The best nursing prevention tool for readmission of patients admitted with DKA & HHS.
What is education?
300
The blood sugar goal for a patient with hypoglycemia unawareness should be....
What is increased reading for fasting and pre-meal?
300
After dosing a patient for his I:C ratio in addition to his correction insulin, you find that he has only eaten ½ of his carbohydrates. You give him…
What is encourage the patient to take some juice along with crackers, graham crackers, ice cream to add as close to total of carbohydrates that he was dosed for?
400
You should call this high glucometer result(s) to the physician
What are 180 for 2 consecutive checks or greater than 250 for 1 check?
400
Novolog 70/30 is made up of 70% of this kind of insulin.
What is protamine?
400
DKA occurs most often in this subtype of diabetes.
What is Type I Diabetes?
400
Two medications that put a person at risk for hypoglycemia
What are any of the sulfonylureas (Glimeperide [Amaryl], Glipizide [Glucotrol], Glyburide [Micronse, Diabetea, Glynase]); the lesser common glinides (Nateglinide [Starlix], Repaglinide [Prandin]); and all insulins?
400
True or False....The patient has an I:C ratio ordered but is not eating, the patient should receive their correction insulin for high pre-meal glucometer reading
What is True?
500
The attending physician should be notified about a hypoglycemic event as soon as possible or.............
What is before the next dose of insulin is administered?
500
One of two insulins that are considered "peak-less" insulin.
What are Levemir or Lantus?
500
The initial goal in both DKA and HHS.
What is fluid resuscitation?
500
One mg of this hormone is given IM sending a message to the liver to release all stored sugar.
What is Glucagon?
500
Two of the reasons glucose may not be available from the liver for release.
What are starvation, liver disease, or alcoholism?