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21 Cards in this Set

  • Front
  • Back
Identify the the three P's in diabetic coma.
- Polydipsia
- Polyphagia
- Polyuria
The pancreas secretes what two hormones to regulate blood sugar levels?
Excess sugar is stored in two forms. Identify the two forms.
The normal blood sugar range is?
- 60-120
What compound serves as the glucose carrier molecule to the brain?
- Thiamin
In Diabetic Coma, What happens to the cellular fluid?
- Decreases due to fluid shift
In diabetic coma, what happens to the blood potassium level?
- Increases
Identify where the potassium came from?
- Cells
Compare the time of onset of diabetic coma to insulin shock.
-Diabetic Coma: Prolonged
-Insulin Shock: Rapid
Identify the treatment for insulin shock?
- D25, D50, Glucagon
Identify the treatment for diabetic coma?
- Fluids
Why is insulin shock more of a severe emergency than diabetic coma?
- Because insulin shock takes effect immediatly and there is not enough sugar in the body to sustain life.
Define DKA.
- Diabetic Ketoacidosis
- Not enough insulin being produced to maintain blood glucose levels.
In diabetic coma, what is the physiological problem created when the body cells begin to burn proteins and fats as a energy source?
- Metabolic Acidosis
Muscle cells store extra sugar for future needs in the form of?
- Glyogen
The diabetic coma patient will need hospital treatment using what three drugs to treat what problems?
- Insulin : to decrease blood sugar
- Potassium: to replace lost potassium.
- Sodium Bicarb: to treat acidosis
What happens to the acid base arrangement for the following conditions?
- Diabetic Coma: Increases
- Insulin Shock: No Change
What is Kussmal Respirations?
- Rapid and deep
What physiological problem is kussmals trying to compensate for?
- Acidosis
What primary caution should be used when administering D50?
- Make sure you are in the vein and to to infiltrate (May cause necrosis)
You have a conscious A & O x3 patient with a BGL of 60 and who is a known diabetic, what would your initial treatment be?
- Treat Symptoms
- Vitals
- Oral glucose or D50