Diabetic/ Glucose drugs
Which diabetic lab value should a nurse reference before treating the patient with insulin, POC BG or A1C?
POC BG
What are the cardinal signs of DM1?
Polydipsia, polyuria, polyphasia
A patient is prescribed oral naltrexone. You know they have a history of what kind of addiction?
Alcohol
Name two signs of a GI bleed
Melena: black/ tarry stools
Coffee-ground emesis
Which generation of sulfonylureas can cause liver failure?
First generation! The DOTS [chlorpropamide (Diabinese), tolbutamide (Orinase), tolazamide (Tolinase)]
What is hydronephrosis physiologically and what scan do we use to view it?
Dilation of renal pelvis and calices leading to atrophy seen via ultrasound
True or false naloxone (Narcan) is always safe to give
What is dysphagia? What causes it?
Difficulty swallowing, Stroke/Cancer/GERD/Hiatal Hernia
Name the four nursing implications for rosiglitazone (Avandia)
Cardiac history, LFTs, BLE assessment, urine color assessment
A patient is admitted to the ED with a high BG, altered mental status, and blurred vision. What is the likely cause?
HHS
What is the priority nursing assessment for patients taking hydrocodone?
Respiratory Rate
What lab value helps us assess nutritional status?
prealbumin/albumin
A patient BGM is at 58mg/dL, they say they are tired and want you to leave the room and turn off the light so they can sleep. What is the priority?
Give them 15g of fast carbs immediately and recheck in 15 minutes
What are the microvascular and macrovascular causes of diabetic foot ulcers?
Micro- neuropathy, macro- vascular insufficiency
What medical condition in a patient’s history is cause for concern with meperidine (Demerol)?
Seizures
What are the clinical manifestations of GERD?
heartburn, regurgitation, chest pain that radiates to the throat, shoulder, or back
A patient is scheduled metformin (Glucophage) BID. They had an MRI at 1200 today. When can they take their next dose?
PM dose after 48 hours (~1800 on 11/5)
What are the unique clinical signs of UTI in children and in older adults?
Children= unexplained fever
Older adults= change in mental status
Name the three nursing implications for buprenorphine and naloxone (Suboxone)
Oral cavity assessment, Gastrointestinal (GI) assessment, and vital signs
Name intestinal obstruction causes (4 possible)
External hernia, postoperative adhesions, tumors, foreign bodies