NUR 176 Exam 1 CORRECT 100%
Hyperglycemia Blood glucose levels - ANSWER Higher than 100mg/dl fasting or 140mg/dl post prandial.
Hypoglycemia blood glucose levels - ANSWER less than 70mg/dL
usually 30 or younger
sudden onset
weight loss
3 P's polyphagia, polydipsia, polyuria
irritability
fatigue - ANSWER Signs/Symptoms for Type 1 DM
older adult
gradual onset
obesity
3 P's polyphagia, polydipsia, polyuria
slow healing
infections - ANSWER Signs/Symptoms for Type 2 DM
Treatment for Type 1 DM - ANSWER insulin for life)
diet +exercise
Treatment for Type 2 DM - ANSWER diet +exercise
oral hypoglycemic agents
Diagnostic tests for DM - ANSWER GAD-test antibodies for Type 1
Serum insulin-absent in Type 1
, Fasting blood glucose- <126
HgbA1C-4-6, over 7 urgent to reduce!
Pt self-monitoring of blood glucose
Pt education for DM - ANSWER how to take blood sugar levels
how to use medication oral/insulin
good skin care
foot care-use mild soap, don't go barefoot, no powders or foot soaks, clip nails straight across
regular lab draws
how to recognize hypoglycemia
symptoms of DKA or HHNS
keep glucagon on hand for hypoglycemic episode.
Cool/Clammy/Sweaty skin
Anxious/Confusion/Unconsciousness
Weak/Dizzy/Palpitations - ANSWER Signs of Hypoglycemia
HHNC (hyperglycemic hyperosmolar nonketotic coma - ANSWER Type 2 DM
Blood glucose levels 600-2000
Elevated body temp
glycosuria
Glasgow Coma Scale - ANSWER eyes opening
verbal response
motor response
Max- 15 pts, below 8= coma
used for assessing degree of consciousness.
FOUR Score Coma Scale - ANSWER eye response
motor response
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