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17 Cards in this Set
- Front
- Back
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What is the term for the normal constant release of insulin into blood stream? |
Basal rate |
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What is the term for the normal increased rate of insulin secretion after the ingestion of food? |
Bolus rate |
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What is the normal range of glucose in mmol/L? |
~ 4-6mmol/L |
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What is insulins job? |
Bring glucose into cells |
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What causes type 1 DM? |
Pancreas no longer produces insulin |
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Symptoms of Type 1 DM? |
-Polydipsia -Polydipsia -Polyphagia |
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How to type 1 DM treated? |
Exogenous source of insulin required |
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What is the cause of type 2 DM? |
Pancreas usually continues to produce endogenous insulin, but the insulin is insufficient and/or poorly utilized. (Insulin resistance). |
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What are the symptoms of Type 2 DM? |
They are non specific |
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What is the treatment for type 2 DM? |
-Diet and exercise -Weight control -Oral anti-hyperglycemic medication -Exogenous insulin may be required |
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Hyperglycemia or Hypoglycemia? Cold clammy skin, diaphoresis, emotional changes (aggitation, irritability, nervousness), feeling faint (dizziness), decreased LOC, seizures, coma, tremors, numbness of fingers toes mouth, raid HR, unsteady gait, slurred speech, hunger, changes in vision, headache |
Hypoglycemia |
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Hyperglycemia or Hypoglycemia? Increase in thirst, increase in urination, increase in appetite followed by decrease, weakness, fatigue, glycosuria, nausea and vomiting, abdominal cramps, blurred vision, headache. |
Hyperglycemia! |
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Causes of Hypoglycemia or Hyperglycemia? Illness, infection, stress (physical, emotional), excess food, inactivity, insufficient diabetic meds |
Hyperglycemia |
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Causes of Hypoglycemia or Hyperglycemia? Insufficient food, excess exercise, excess diabetic meds, alcohol. |
Hypoglycemia |
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Nursing Interventions: H____glycemia: Rule of 15: Blood glucose <4mmol/L Ingest 15-20g of simple carbohydrates Wait 15 minutes & recheck blood glucose Eat snack if regular meal is >1hr away Recheck blood glucose in 45 minutes |
Hypoglycemia! |
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Nursing Interventions: H____glycemia: Check blood glucose Oral anti-hyperglycemic meds or insulin Fluids |
Hyperglycemia |
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Which is more accurate.. Plasma glucose levels or Capillary glucose levels? |
PLASMA values are more ACCURATE |
