NURB 331 Exam 3 notes
NURB 331 Exam 3 notes NURB 331
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This 2 page Class Notes was uploaded by Kelsey Forbeck on Tuesday October 11, 2016. The Class Notes belongs to NURB 331 at University of Indianapolis taught by Professor Rairdon in Fall 2016. Since its upload, it has received 3 views. For similar materials see Lifespan 1 in NURSING at University of Indianapolis.
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Date Created: 10/11/16
NURB 331 Endocrine and Metabolic Disorders Diabetes Mellitus o Most common endocrine disorder associated with pregnancy o Pregnancy complicated by diabetes is considered high risk o Pathogenesis Group of metabolic diseases characterized by hyperglycemia resulting from defects in insulin secretion, insulin action, or both Insulin decreases the glucose in the blood o Classification of diabetes: Type 1 diabetes Caused mainly by pancreatic islet beta cell destruction There isn’t enough insulin Type 2 diabetes Insulin resistant (cells will not accept glucose) There is therefore an insulin deficiency Other types may be caused by infection or drug induced Gestational diabetes mellitus Any degree of glucose intolerance with onset or recognition of pregnancy. o Maternal risks and complications of pregestational diabetes Miscarriage Macrosomia (fat baby0 Hydraminos Care Management o Antepartum: Diet (based on blood glucose levels) Exercise Insulin therapy Monitoring blood glucose levels and urine testing Target levels of glucose o Fasting between 65 and 96 mg o 1-hour post prandial should be less than 130 to 140 mg o Intrapartum Monitor closely for dehydration, hypoglycemia and hyperglycemia Diabetic people pee a lot o PP During first 24 hours’ insulin needs decrease significantly Blood glucose is monitored closely and insulin given per sliding scale o Risk factors for gestational diabetes Maternal age greater than 25 Macrosomia infant Previous pregnancy with this problem History of type 2 diabetes