Definitions
Causes
Thinking
Application
Insulin
100
Suppressed by the release of insulin and stimulated by a falling blood glucose level, this hormone will mobilize its stores of glycogen in the liver and muscle cells when blood glucose levels fall the body. They are secreted by the alpha cells in the pancreas and oppose the action of insulin.
What is Glucagon?
100
Caused by repeated injections of insulin in one area, this condition is the accumulation of fatty, rubbery tissue in the subcutaneous layer of the skin.
What is Lipohypertrophy?
100
When selecting an injection site, they are to remain within the abdomen area, injecting systematically in a clockwise rotation.
What is the 'within site rotation of injection sites' around the abdomen?
100
Is characterized by velvety light brown to black hyper pigmented plaques that appear in the folds of the skin. It is usually seen around the neck and the axillae but can also be seen in the groin, umbilicus and hands.
What does acanthosis nigricans look like?
100
NovoRapid, Humalog, Apidra, Humulin R and Novolin GE Toronto
What are examples of bolus insulins?
200
This condition is an acute complication of diabetes occurring when fats are metabolized in the absence of insulin. It is characterized by the triad of hyperglycemia, ketonemia and acidemia and leads to severe dehydration
What is DKA?
200
This condition occurs when blood sugar levels are low (under 4 mmol/L) in the body, usually because there is too much insulin in proportion to available glucose.
What is hypoglycemia?
200
This medication is usually the first agent used, which causes an increase in sensitivity to insulin while inhibiting hepatic gluconeogenesis.
What is Metformin?
200
Repercussions of this this condition can lead to a severe low blood glucose reaction rather than recognizing a mild one that is easily treated.
What is not properly recognizing and treating low blood sugar?
200
This insulin contains a fixed ratio of rapid acting or regular insulin to intermediate acting insulin. Examples include: Humulin or Novolin 30/70, NovoMix 30 or Humalog Mix 25.
What is pre-mix insulins?
300
This condition is a hyperglycemic state with hyperosmolarity, without acidosis or significant ketonuria. The presence of some insulin keeps the patient from developing DKA. The blood glucose levels are high enough to lead to severe dehydration causing neurological changes.
What is HHS?
300
This item is known to successfully cause the blood glucose to sustain levels when the patient has experienced a hypoglycemic episode.
What is a recovery snack?
300
A physiological problem that arises when cells stop responding to insulin. A sign of this condition is acanthosis nigricans.
What is insulin resistance?
300
This action by the healthcare provider prevents potential injury during a hypoglycemic episode.
What is staying with the patient ?
300
This insulin works within 10-15 mins and should be administered before patient consumes meals or food.
What is the onset of bolus insulin?
400
This occurs when the person has no awareness of their blood glucose level being low.
What is hypoglycemia unawareness?
400
This condition occurs when blood glucose levels are elevated over normal range. Symptoms include continuous polydipsia, polyuria, and polyphagia over a period of time are common signs of this condition.
What is hyperglycemia?
400
Abnormally slow and deep breathing that occurs in acidodic states such as diabetes ketoacidosis.
What are identifying factors of Kussmaul breathing?
400
This should be checked just before meals for best and most accurate results.
What is the best time to check a client's blood sugar?
400
Some examples include: Novolin NPH, Humulin N, Lantus and Levemir.
What is basal insulin?
500
Refers to elevated blood glucose levels in the morning as a result of a low blood glucose reaction in the night. The liver has released sugar into the blood stream causing the morning level to be elevated. This effect will be more marked if the hypoglycemic episode was severe or prolonged.
What is rebound hyperglycemia (Somoygi Effect)?
500
This test provides a reliable estimate of mean plasma glucose levels over the previous 3 to 4 months. Abnormal red blood cell turnover can cause abnormal findings.
What is the A1C’s test?
500
Is only 6 to 10 minutes, which highlights the reason this hormone needs to be continuously secreted so that the fluctuating blood glucose levels are kept within the normal range of 4 to 7 mmol/L.
What is meant by the half-life of insulin?
500
This condition (related to diabetes) will have the client experiencing a deficit in fluid volume.
What is hyperglycemia?
500
This insulin is given at HS even if blood sugar is normal.
What is basal insulin?