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ASSESSMENT
DIAGNOSIS
INTERVENTION
INSULIN TYPES
TEACHING
100
This symptom is found in the type I diabetic, The abnormal break down of fats in the absence of insulin , results in acidic blood and ketones thus blowing off of Carbon Dioxide (acid) results in
What is Kussmaul's respirations
100
this diagnostic procedure requires the injection or ingestion of radioactive dye, a special camera will show nodules either hot spots (nonmalignant/reuptake of dye) or cold spots (may be malignant/ no reuptake of the dye)
What is thyroid scan
100
This group of medications are used to treat Type II diabetes to in combination with a modified diet to control blood glucose
What is Oral hypoglycemic agents/ anti hyperglycemic agent Pg 925 in Williams and Hooper
100
The onset is 1-2 hours , the peak time is 6-12 hours and the duration is 18-26 hours
What is; Intermediate acting insulin including: NPH (Humulin N and Novolin N)
100
A type I diabetic finds her blood glucose is 310 mg/dl on a routine check at home. Her BG is typically 110-118. she calls you, the triage nurse. Tour best advise is:
What is; 1. check your urine for ketones, and 2. flush your system with water to avoid dehydration 3.recheck urine for ketones 4.call the DR if no change
200
the following symptoms indicate the onset of what condition You enter the room to assess:The known diabetic patient appears flushed, skin is dry, She is very drowsy, and parents report a deteriorating condition over the last few days.
What is ketoacidosis
200
A Glucose tolerance test with a reading of 200mg /dl indicates a diagnosis of___________
What is Diabetes Mellitus
200
an important component of assessment following a thyroidectomy include: _____________ to detect and treat thyrotoxic crisis
What is: Vital Signs symptoms of thyrotoxic crisis include: tachycardia, high fever, and hypertension
200
this is the time that a snack should be provided if the patient receives 10 units of short-acting (Regular) insulin at 7AM before breakfast.
What is 0900-12noon (2-5hr peak time) Fast-acting insulin include:Humulin R and Novolin R (pg. 924)
200
A patient ask which hormone lowers the blood glucose and which organ secretes it
What is insulin and the Pancreas
300
You are assigned to a patient following a thyroidectomy, the patient is exhibiting signs of tetany. this symptom is a result of which deficient hormone
What is: Parathyroid hormone Due to accidental removal of parathyroid glands during surgical removal of thyroid Remember in the absence of parathyroid hormone, serum calcium drops and tetany results
300
This result is expected in the presence of hyperparathyroidism
What is, hypercalcemia (elevated serum calcium) remember, PTH facilitates the movement of calcium from the bones into the blood stream, thus increasing calcium levels
300
this is a treatment to reduce the Growth Hormone levels
What is irradiation or removal of the pituitary gland (hypophysectomy) growth hormone is secreted from the anterior pituitary gland
300
this is the point at which a patient is most likely to experience hypoglycemic reaction after taking insulin
What is the peak time This is the time that a snack is needed to provide the glucose needed
300
You are teaching a diabetic patient the goals of BG levels to maintain health. What are the blood glucose levels pre-prandial _____ mg/dl and post-prandial goals
What is pre-prandial 70/80-130mg/dl and postprandial below 180mg/dl
400
these symptoms indicate the presence of diabetes type___ 1.Obesity 2.High-fat diet 3.Diet high in concentrated carbohydrates
What is type 2 diabetes
400
The malfunction of which gland leads to insufficient levels of antidiuretic hormone and oxytocin
What is; the Hypothalamus the hypothalamus produces antidiuretic hormone (Vasopressin) and oxytocin the posterior pituitary gland stores these two hormones
400
Urgent response is required for which symptoms associated with glucose levels
What is sweating and tremors due to low glucose levels Remember Blood Glucose falls fast and hypoglycemia is more urgent than hyperglycemia
400
Humalog, NovoLog and Apidra are which insulin type
What is Very-Short -Acting insulins. pg, 924
400
Name the process in hormonal activity that refers to the effect of a hormone that reverses the initial stimulus leading to decreased secretion
What is Negative Feedback
500
This group is assessed for common iodine deficiency
What is vegetarians consuming only sea salt (sea salt lacks iodine)
500
this is a laboratory value used to diagnose diabetes insipidus
What is urine specific gravity Normal urine specific gravity 1.009-1.029) if too low =suspected DI, (dilute urine) other s/x include; polyuria and polydipsia, dehydration
500
this is a medication prescribed for long-term management of patients diagnosed with diabetes insipidus
What is Desmopressin acetate (DDAVP) is a synthetic antidiuretic hormone (ADH)
500
this insulin type is utilized in the sliding -scale insulin regimen to maintain optimal glucose serum levels
What is short-acting given prior to meals to avoid a hyperglycemic state
500
the nurse informs the patient that this hormone is released in response to elevated serum calcium (Hypercalcemia)
What is Calcitonin When blood calcium levels rise, Calcitonin is released to ensure no more calcium escapes from the bones until it is needed to maintain normal calcium levels