Interventions to prevent diabetes Maintain healthy weight, diet and exercise
3 polys, blurred vision, cold feet, numbness, shiny thin skin
Signs of type 1 diabetes
w/ no hair, age 30 and under, sudden onset, underweight,
No symptoms at first , later develop the 3 polys, obesity,
Signs of type 2 diabetes
Nigricans (black line on back of neck) skin tags
Fatigue, weakness, irritability, reduce cognition, tremors,
S/S of hypoglycemia
seizures, diaphoresis( sweating)
S/S of hyperglycemia 3 polys, fruity breath
High BS, high HR, restlessness, weight loss, fruity breath,
S/S of diabetic ketoacidosis and treatment
kussmaul(fast deep RR) -- treatments; IV regular insulin
First intervention if a pt. Presents with s/s of hypo/hyper-
Check blood sugar
glycemia
Takes meds, daily feet care, yearly renal test, eye exams
Prevention of long term complications of diabetes
every 6 months, LDL less than 150
Meals at the same time every day, decrease saturated fats,
Dietary teaching for a diabetic patient
increase exercise , refer pt. To MyPlate learning tool,
Diabetic Pt. should never increase carbs unless... Sugar is low before exercising
Know hypo/hyperglycemia s/s, know that stress and ill-
Discharge teaching for diabetic pt. ness increase BS , see a diabetic educator, know what the
ettect of Exercise can have on Bs
Clean w/ soap and warm water, clean socks everyday, cut
Diabetic foot care toe nails straight across, keep feet dry, no powder or lotion
b/t toes , wear shoes , inspect feet daily, no gardners
LDL-less than 100 HDL- more than 40 Triglycerides- more
Lipid analysis
than 150
What are low and high levels of HDL indicative of High- insulin resistance, low- insulin sensitivity
What insulins can not be mixed? Levemir and Lantus ( detemir and glargine )
, Hondros Nur 176 Exam 1 Test Questions and Answers Rated A
How to mix insulin Short acting to long acting, regular to NPH, Clear to cloudy
Should a nurse hold a patients insulin before consulting
No
a dr?
No insulin, beta cells are destroyed is a result of ? Diabetes type 1
Beta cells exhaustion , insulin resistance is a result of ? Diabetes type 2
Rapid acting insulin Lispro(Humalog) aspart(Novolog) glulisine(Apidra)
Onset, peak and duration of Novolog and Apidra Onset-15-30, Peak-1-3hr, duration-3-5hr
onset, peak and duration of humalog Onset-15-30, Peak-1-2hr, duration-3-4hr
Humulin R, Novolin R, ReliOn R, Onset-30-60 , Peak-2-4hr,
Short acting insulin( regular)
duration-6-8hr
Humulin N, Novolin N, ReliOn N, Onset-1-4hr Peak-4-12hr,
Intermediate insulin (NPH)
duration-12-16hr
Lantus and levemir Onset-1-2hr, Peak- none, dura-
Long acting insulin
tion-24hr
Which insulin is the only one that can be given through IV
Regular
?
What is glucagon used for? Makes glucose. Received if BS is low
If a pt. Is lethargic, what form of glucose should be ad-
Glucagon gel in cheek
ministered?
Lump under subcut tissue due to repeated injections at
What is Lipohypotrophy and the prevention ?
the same site. Rotate sites
S/s of brain tumor Vision changes, confusion and headache
Blurred vision, personality changes, altered level of con-
S/S of traumatic brain injury sciousness, slurred speech, confusion, headache, uncoor-
dinated, weakness / numbness of legs and arms
CT scan to make sure there's no head bleeding