Diabetic KetoAcidosis (DKA)
When the body attempts to compensate for acidosis, respirations deepen to blow off built up carbon dioxide (CO2).
What are Kussmaul respirations?
Speed of onset for HHS.
What is slow onset?
Withhold if patient having is having tests involving contrast dye.
What is Metformin (Glucophage)?
Body tissues do not respond to insulin.
What is insulin resistance?
When the body attacks a part of itself.
What is an autoimmune response?
A patient presenting to the ED in DKA may be diagnosed for the first time with this disorder.
What is Type I diabetes?
A Priority Nursing Diagnosis for HHS.
What is Deficient Fluid Volume related to osmotic diuresis?
Name of a rapid acting insulins.
What is:
lispro (Humalog)
aspart (NovoLog)
glulisine (Apidra)?
Delayed gastric emptying.
What is gastroparesis?
The body breaks down fat for energy.
What are ketones?
Produced when the body breaks down fat for energy.
What are ketones?
The typical patient type that will present with HHS.
What is a pt over 60 with type II diabetes?
Avoid alcohol when taking this medication.
What is Glyburide?
The pain diabetics report from decreased circulation.
What is diabetic neuropathy?
Recommended pre-prandial blood glucose level.
What is blood glucose reading of 70-130 mg/dL?
Insulin allows these (3) molecules/elements to enter the cells.
What is water, potassium and glucose?
Keeps ketoacidosis from occurring
What is circulating insulin?
Insulin with no peak action time.
What is insulin glarine (Lantus), or detemir (Levemir)?
Absence of endogenous insulin production in the body.
What is Type I diabetes?
Preferred site for administering subcutaneous insulin injection.
What is the abdomen?
The usual (3) interventions initiated in the ED to treat DKA.
What is treatment with IV fluids, IV insulin and blood glucose monitoring?
Causes development of lactic acid in the tissues (2).
What is dehydration and tissue hypofusion.
This insulin has a 4-8 hour peak.
What is NPH insulin?
The 3 P's that may be noted in diabetic patients.
What is polyuria (excessive urination),
What is polydipsia (excessive thirst),
What is polyphagia (excess hunger)?
Insulin regime that mimics normal insulin secretion.
What is basal-bolus insulin.