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NR 601 FINAL EXAM - Correct solutions 2024/2025 100% GUARANTEED PASS
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NR 601 FINAL EXAM - Correct solutions 2024/2025NR 601 FINAL EXAM - Correct solutions 2024/2025NR 601 FINAL EXAM - Correct solutions 2024/2025NR 601 FINAL EXAM - Correct solutions 2024/2025NR 601 FINAL EXAM - Correct solutions 2024/2025NR 601 FINAL EXAM - Correct solutions 2024/2025NR 601 FINAL EXAM...

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  • April 27, 2024
  • 13
  • 2023/2024
  • Exam (elaborations)
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NR 601 FINAL EXAM - Correct solutions 2024/2025

Diabetes Diagnostic criteria - ANS -- 2 fasting BS > 126

-Random BS >200 if sx of DM present

- A1C > 6.5 x2

- 2 hour plasma glucose (OGTT) >200

- Prediabetes 5.7-6.4 A1C



Initial Tx of DM - ANS -- Type 1: usually need hospitalization d/t being in crisis,

endocrinology, daily basal & prandial insulin

-Type 2: A1C <7.5: Nutritional therapy, physical activity, weight loss, monotherapy

(usually metformin).

>7.5 @ diagnosis or after 3 months: add a 2nd agent

>9.0 insulin (AACE)

>10 insulin (ADA)



DM medication side effects - ANS -- Metformin: decr B12 absorption, diarrhea,

nausea, anorexia, abd discomfort, *lactic acidosis* (rare), metallic taste

- Sulfonylureas (glyburide, glipizide): hypoglycemia, weight gain, GI upset, skin rashes,

severe anemia, headache

- Acarbose & Miglitol (alpha- glucosidase inhibitors): flatulence & diarrhea

-Actos & Avandia (thiazolidinones): weight gain, URI, edema, anemia, hypoglycemia,

*CHF*, possible liver damage, bladder tumors

, - Januvia, onglyza, nesina: stevens-johnson syndrome, pancreatitis, renal failure, abd

pain

- Trulicity, Tanzeum, Victoza (glucagon-like peptide-1..): pancreatitis, arthralgia

- Invokana, Farxiga, jardiance (NA-glucose transport..): renal failure, ketoacidosis,

hypotension, genital fungal infections

- Glufast, Starlix, Prandin (Meglitinides): wt gain, hypoglycemia



DM Tx goals - ANS -- Healthy pt, long life exp.: A1C <7.5, Fasting: 90-130, Bedtime:

90-150, BP: <140/90,

- Complex/intermediate pt, interm. life exp., A1C <8.0, Fasting: 90-150, Bedtime: 100-

180, BP <140/90

- Very complex/poor health, limited life exp, A1C < 8.5, Fasting: 100-180, Bedtime: 110-

200, BP <150/90

*A1C < 6.5 reduces complications*



DM weight loss recommendations - ANS -- Wt loss not recommended in frail elderly

d/t risk of sarcopenia, but even modest exercise is good.

-5% weight loss recommended



DM Risk factors - ANS --Type 1: Caucasians, environmental, autoimmune, and viral

toxins, young age, congenital rubella, CMV, Adenovirus, Coxsackie B4, and mumps,

high birth weight

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