DM Questions and Answers | Already Graded
A+ | New Update | Maryville University
What is the 15/15/15 rule? - ANSWERS Admin 15g of fast-acting carbs
Wait 15 min. & recheck BG
Admin 15g of carbs if BG remains <70 mg/dL
*give 7g protein when BG WNL (i.e. 2 tbs. peanut butter; 1 oz. cheese; 8 oz. milk)
List the 3 P's of Type 2 DM - ANSWERS *Polyuris
*Polydipsia
*Polyphagia
(Fatigue, poor wounds healing, cardiovascular disease, visual disturbances, renal
insufficiency, recurrent infections)
Pathology of Type 2 DM - ANSWERS Inadequate insulin production (lack of
insulin) and cells resist glucose from entering (Insulin resistance)
, Pancreas beta cells fail
What does Type 2 DM require? - ANSWERS Increased insulin needed
Type 2 DM usually occurs after what age? - ANSWERS after age 30
List common complications of DM - ANSWERS Hyperglycemic hyperosmolar
State (HHS)
DKA
*see table 44.7
What is HHS? - ANSWERS *BG > 600 mg/dL
Hyperosmolar state - osmotic diuresis - serum osmolality 320
Profound dehydration
Serum pH > 7.4
Sodium Bicarb > 15 mEq/L
*Low to absent ketonuria
Altered LOC