Adult Nursing Care I
Adult Nursing Care I NURS 371
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This 3 page Class Notes was uploaded by Tremayne Padberg III on Sunday October 25, 2015. The Class Notes belongs to NURS 371 at University of North Dakota taught by Darlene Hanson in Fall. Since its upload, it has received 16 views. For similar materials see /class/229078/nurs-371-university-of-north-dakota in Nursing and Health Sciences at University of North Dakota.
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Date Created: 10/25/15
Study guide Nondiabetic BG ranges Hgb A1c below 605 premeal BG 70120 postmeal BG less than 180 3 am BG greaterthan 65 Diagnosis of Diabetes Fasting level of 126 mgdLor greater ndom Level of 200 mgdL or greater Postprandialmeal 2 hour glucose level of 200 mgdLor greater Impaired fasting glucose PreDiabetes 110125 mgdL Signs and symptoms of type 1 diabetes olyuria p p symptoms of hyperglycemia are Polyuria polydipsia and unexplained weight loss Signs and symptoms of type 2 diabetes a Itching c Blurred vision d May present with the complications of diabetes before they are ever diagnosed with the condition e may have PPP 2 Insulins a Rapid i Humalog novolog apidra 5 min to 15 min peak in an hour workfotho 4 hours 1 Afood source should be readily available b Shortacting i Regular 30 min to 2 hours onset peak in 2 to 4 duration is 4 to 6 hr c Intermediate i NPH Lente lente has a longaction not used as much any more 1 2 to 4 hours 4to 10 hr peak 10 to 16 hour duration d39 Long39adlng i GlargineLantus No peak Cicar 510 1 m 24 m onset is 1 hour Do not mix with Navatoglmsuiin Clear asparl other insulin Humulin H Imgulari Clear Novolm R Ingmar As nurse you need to know the peak action for each ofthese duration of each Explain to patients that insulin helps mmrmemsimcnng Humulln N own Humulln L Lama mm man named 110 NFH 3m regular None 1azanr None 24 m transport glucose into the cells to lower the blood glucose levels What s the difference between regular and longacting insulin Where is insulin administered Abdomen absorbs the fastest followed by the arms then legs When would you expect regular insulin to peak Why do you need to know when insulin peaks 3 Does exercise raise or lower a blood sugar level Lower 4 Drugs for Type 2 diabetes Symlin a Type 1 and 2 helps with glucose control not in place of insulin i Hypoglycemia associated with this Byetta b Type 2 diabetes combined with metformin and sulfonylureas i Weight loss because of satiety What do you know about alphaglucosidase inhibitors What do you know about TZD s What do you know about biguanides metformin ncretins What are they What do they do for a person 5 How do you treat a reaction How much glucagon 1mg How much dextrose 2550 ml 50 in water iv Is glucagon given IV Orally Subcu IM or subcu Is dextrose given IV Orally Subcu IV Big vein if possible What food would you use to treat a reaction Is chocolate okay How many lifesavers How much juice 15 rams 34 glucose tabs 35 4 to 6 oz juice 6 36 6 to 10 lifesavers not choc why 37 2 to 3 teaspoons sugar or honey not with the juice why Who gets diabetic ketoacidosis Type 1 or 2 What are the signs and symptoms How is it treated 9 H H H N H W loA very inadequate amount of insulin causes it Char by Hyperglycemia may be 300 to 800 Dehydration Loss of electrolytes particularly K ACIDOSIS w pH 6873 accumulations of ketones causes metabolic acidosis O O O 0 What are the signs and symptoms of HHNS What does llgood foot carequot mean How many grams of carbohydrate are in a llcarb exchangequot When does Glargine peak What is Somogyi What is llkussmaulquot Deep sighing respirations in an attempt to blow of C02 What s the big deal with Humalog Ok I know this is a vague question what would you worry about if you give Humalog to a patient At what point do you start to worry about hypoglycemia What s a normal blood glucose level