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28 Cards in this Set
- Front
- Back
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A pt. presents to the ER with drowsiness, hypotension, tachycardia, dehydration, Kussmauls resp, and abdominal pain what is there problem?
-hypoglycemia -hyperglycemia |
hyperglycemia
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What are 3 serious complications of DM?
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retinopathy
neuropathy nephropathy |
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A pt. presents to the ER with c/o being jittery, fain, tachycardic, sweaty, with a h/a, and has neurological deficits...what's the problem?
-DKA -hypoglycemia -hyperglycemia |
hypoglycemia
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In a pt. with DM all are found except 1...
-renal failure -renal lithiasis -proteinuria -nephrotic syndrome |
renal lithiasis
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What condition is characterized by elevated blood glucose and is due to decreased secretion and effectiveness of ...?
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insulin
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Which type of DM is the most common?
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Type 2
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T/F
The first presenting sign of DM may be DKA. |
true
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What are the 3 P's of DM?
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polyuria
polyphagia polydipsia |
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Deep sighing respirations which are rapid are Kussmaul respirations are indicative of what condition?
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DKA
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Tachycardia, postural hypotension and hypotension may be signs of?
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DM
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If a DM pt presents with lactic acidosis, what medication could precipitate it?
-metformin -glipizide -insulin |
metformin
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Hypoglycemia occurs commonly in diabetics due to ..
-hypoglycemic insulin admin. -inadequate caloric intake -insulin (too much) -all of the above |
all of the above
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Alcoholics, with tumors secreting glucagon, malnutrition, and rarely sepsis.
What is it? -hyperglycemia -DKA -hypoglycemia |
hypoglycemia
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What is the tx of significant hypoglycemia?
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IV glucose
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Background, Proliferation, and Maculopathy are forms of...?
-Renal failure -Retinopathy -Neuropathy |
retinopathy
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At every visit with a diabetic pt. you must check what?
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their feet
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You must check you diabetic pts feet due to...
-peripheral neuropathy -tendency for venous ulcers -PVD -all of the above |
all of them
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A pt. may not be able to feel the symptoms of hypoglycemia if they are on what cardiovascular drug?
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beta blocker
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If a hypoglycemic pt. goes without treatment they can have irreversible __ damage.
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neurological damage
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Is a pt. with diabetes more or less apt to suffer from cardiovascular disease?
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more
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What effects can diabetes have on the GI tract?
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gastric paresis-slowing, vomiting, bloating, diarrhea.
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What do corticosteroids do to a pts blood sugar level?
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raise it!
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The smell of ketones, or fruity breathe is indicative of what diabetic condition?
-hyperglycemia -hypoglycemia |
hyperglycemia
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What must you check you pt's urine for when you see them? whats a problem?
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ketones
proteins glucose |
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Lipoatrophy and lipohypertrophy are complications of __ therapy.
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insulin
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T/F
Diabetic pt's are at lower risk for infections than nondiabetics. |
false
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What is a sexual side effect of diabetes?
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impotence
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T/F
Diabetic pt's typically have problems with hypoglycemia. |
false, hyperglycemia should try to keep under 130/80
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