What glucose serum level is considered hypoglycemic in children?
Greater than 120
200
What is the primary function of insulin?
Insulin is the vehicle of how glucose goes from the blood stream into the cells
200
Name three causes of hypoglycemia
to much insulin, exercise, to little food
200
Name 5 s/s of hyperglycemia
poydipsia, polyphasia, polyurea, blurred vision, tired, lack of concentration
300
Why does polydipsia and polyurea occur?
Polydipsia occurs because the cells are not getting energy in the form of glucose so they are sending signals to the brain to eat
Polyurea occurs because the glucose that is spilled out of the kidneys into the urine is osmotic and attacks water-therefore you get lots of urine production
300
What serum blood level is considered hypoglycemic in children?
Less than 80
300
What may be causes of hyperglycemia
eatting extra sweets and foods, becoming sick, stress, less active than usual, not enough insulin
400
What type of acid-base state occurs with DKA?
metabolic acidosis
400
How do you treat hypoglycemia in a conscious child? In an unconscious child?
If the child is able have them drink juice but also give them some protein-like peanut butter, bologna, cheese crackers
If they are unconscious, they may need a glycogen injection
500
Why do you monitor your patient's neuro status during your treatment of DKA?
You are watching for s/s of cerebral edema
500
What should you do if your Blood sugar is high?
Drink plenty of sugar free fluids or water, check ketones, administer insulin as per ordered by MD