Show:
Diabetes
Insulins
Antidiabetic Agents
Hypo/Hyperglycemia
Emergency care
100
1. Polyuria 2. Polydipsia 3. Polyphagia
What are clinical manifestations of "Hyperglycemia"
100
Clear before Cloudy
What is the correct way to draw up and mix insulin?
100
I interfere with the absorption of carbohydrates
What is Precose (Acarbose)?
100
Category of hypoglycemia symptoms sweating, clammy, tremors, tachycardia, palpitations, nervousness
What are Adrenergic symptoms?
100
Injected medication used for hypoglycemic emergencies
What is Glucagon?
200
1. Symptoms + casual BS > 200mg/dl 2. FSBS > 126 mg/dl
What are diagnostic criteria for Diabetes
200
What do you do prior to drawing up NPH (cloudy)? (A) shake the bottle (B) Nothing (C) Pray you do not poke yourself (D) Roll bottle between hands
What is Roll bottle between hands
200
I decrease hepatic glucose production & intestinal absorption.
What is a Biguanides (Metformin)?
200
3-4 glucose tablets 15 G of fast acting carbohydrates
What is the management of early hypoglycemia
200
Given intravenously for diabetic emergencies, very thick viscosity, need larger bore IV cathlon
What is 10% Dextrose?
300
Caused by an absence of or inadequate amount of insulin resulting in the inability to metabolize carbohydrates, protein and fat
What is Diabetic ketoacidosis
300
This insulin is given at H.S.
What is Lantus?
300
I sensitize the body tissue to insulin & stimulate insulin receptor sites to lower B.S.
What is an Insulin Sensitizer (Avandia, Actos)?
300
A morning hyperglycemia resulting from an effective counter regulatory response to nighttime hypoglycemia
What is Somogyi phenomenon?
300
Uncontrolled hyperglycemia, Metabolic acidosis & increased Ketone production
What is Diabetic Ketoacidosis (DKA)
400
1. Peripheral vascular disease 2. Retinopathy 3. Neuropathy 4. Infections 5. Poor healing
What are long term complications of Diabetes
400
A short acting insulin that is administered SQ or IV
What is Regular Insulin
400
I slow gastric emptying helping to regulate the post prandial rise in blood sugar, I am injected SQ
What is an Amylin Mimetic (Symlin)
400
Fruity-smelling breath Nausea and vomiting Shortness of breath Dry mouth Weakness Confusion Coma Abdominal pain
What are late symptoms of Hyperglycemia
400
Increased serum osmolality caused by hyperglycemia
What is Hyperglycemic-Hyperosmolar States (HHS)?
500
"A first aid kit for severe hypoglycemia"
What is Glucagon
500
Thickening of injection sites due to fibrous scar tissue
What is Lipodystrophy?
500
I stimulate insulin release from pancreatic beta cells
What is a Sulfonlureas (Amaryl, Glucotrol, DiaBeta)
500
Check blood glucose Q 4 – 6 Check urine ketone levels when BS levels > 300 mg/dL. Continue to take insulin &/or oral antidiabetic agents  DO NOT OMIT Insulin Doses during times of illness unless instructed to after consulting w/the PCP. Take liquids containing both glucose & electrolytes (diluted fruit juice or Gatorade) when nauseated. When glucose are WNL or elevated, take 8 – 12 oz. (240 -360 mL) of caffeine – free, calorie – free liquids Q hour to prevent dehydration.
What are " sick day rules"?
500
Airway maintenance Cardiac/vital sign monitoring #1 infusion rate of 15-20ml/kg/hr Regular insulin by continuous infusion
What is the emergency management of DKA?