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HONDROS
1. Best time to give Lantus - ANSWER ✔ In the evening
2. Lantus has no peak - ANSWER ✔ Because of long acting
3. Give Lantus at 2000, when would the medication work? - ANSWER ✔
@2100
4. Metformin - ANSWER ✔ Treats Type 2, helps body move insulin to blood
stream to cell.
Side effect: weight loss
5. Glipizide - ANSWER ✔ Helps pancreas produce more insulin
6. Hyperglycemia - ANSWER ✔ Polyuria, Polydipsia, Polyphagia
7. 3Ps - ANSWER ✔ Polyuria, polydipsia, polyphagia
8. DKA - ANSWER ✔ Type 1, increases blood sugar (>250)
S/S: Weight loss, tired, fruit breath, Ketones in urine. At risk for dehydration
b/c urine frequency
9. DKA Tx - ANSWER ✔ Insulin and fluids
10.Insulin goes.. - ANSWER ✔ Cloudy, Clear, Clear, Cloudy
,11.Manatol - ANSWER ✔ Increased urine frequency, monitor potassium
levels
12.DKA would be - ANSWER ✔ Metabolic acidosis- Ketones make the body
acidosis
13.DM can cause - ANSWER ✔ Poor blood flow,hair loss, shiny skin
Come to having vein problems: edema, retinopathy, assess feet daily, need hard
sole shoes
14.Hypoglycemia Medication - ANSWER ✔ Give Glucagon- IM, wait 15
minutes to check blood sugar again
15.LDL - ANSWER ✔ Low density lipoprotein (bad cholesterol)
<70 mg/dL
16.HDL - ANSWER ✔ High density lipoproteins (healthy type of cholesterol)
Male- >45 mg/dL
Female- >55 mg/Dl
17.Patient 25y/o & diabetic. They are concerned about new symptoms. What
symptoms should they be worried about - ANSWER ✔ Hair loss
18.Diabetics should be doing what for annual basis? - ANSWER ✔ Eye
doctor, dentist, urine analysis, Podiatrist, BUN & Creatinine
19.Mixing insulin - ANSWER ✔ Mix clear-cloudy
20.Teach patient to do blood sugar? - ANSWER ✔ Use side of finger, rotate
fingers, wipe first blood off with alcohol wipe
21.No S/S, patient are alert/oriented. Blood sugar only 30 - ANSWER ✔
Recheck blood sugar
22.Patient is c/o thirst, restless, urine frequency - ANSWER ✔ Check blood
sugar
23.Can diabetic clip own nails? - ANSWER ✔ Yes- straight across only
,24.Teach duabetic about foot care? - ANSWER ✔ No lotions, no powders,
should be always dry,wear diabetic socks/shoes
25.Type 2 c/o of racing heart, saky, blurred vision - ANSWER ✔ Check blood
sugar
26.Embolic - ANSWER ✔ Type of stroke when blood clot has traveled
through the circulation to the brain
27.Ischemic stroke - ANSWER ✔ Type of stroke when brain has deficient
blood flow, can be either thrombotic or embolic stroke
28.Battle's sign - ANSWER ✔ A sign that indicates a fracture of a bone of the
lower skull., appears post-auricular Cerebrovascular ecchymosis (bruise
behind the ear) (page 1952)
29.Stroke - ANSWER ✔ Cerebrovascular accident
30.Decerenate - ANSWER ✔ In this response, all four extremities are in rigid
extension. (see illustration on page 1914)
31.Aneurysm - ANSWER ✔ pathological distention or bulge of an artery
weakening the artery wall.
32.Decadron - ANSWER ✔ When giving corticosteroid, concurrently
administer medication to prevent peptic ulcer.
33.Mannitol - ANSWER ✔ Osmotic diuretic which is able to cross the blood
brain barrier (BBB) and decrease ICP
34.Transient ischemic attack - ANSWER ✔ This event may precede a CVA.
35.Meningitis - ANSWER ✔ Inflammation of the lining of the brairn
36.Heparin - ANSWER ✔ Anticoagulant administered SC or IV
, 37.Metformin - ANSWER ✔ Withhold this medication when patient is
scheduled to receive iodine based contrast dye for diagnostic test.
38.Warfarin - ANSWER ✔ Anticoagulant which affects the INR values.
39.Wernicke's - ANSWER ✔ Area of temporal lobe that is reaponsible for
comprehending written and spoken language.
40.Encephylitis - ANSWER ✔ Inflammation of the brain.
41.Decorticate - ANSWER ✔ This response is characterized by flexion of the
arms, wrists, and fingers with adduction of the upper extremities
42.Dysphagia - ANSWER ✔ Difficulty swallowing
43.Diplopia - ANSWER ✔ Double vision
44.Dysarthria - ANSWER ✔ Difficulty articulating speech.
45.Thrombotic - ANSWER ✔ Type of stroke when cerebral arteries are
atherosclerotic
46.Aphasia - ANSWER ✔ Total loss of comprehension and use of language
47.Vasospasm - ANSWER ✔ Narrowing of the arteries caused by a persistent
contraction of the blood vessels
48.Neutral - ANSWER ✔ Position of neck to promote venous drainage, when
patient is being treated for ICP. (see page 1915)
49.Acyclovir - ANSWER ✔ Antiviral medication
50.Alzheimers - ANSWER ✔ Most common form of dementia of people over
65 years of age
51.Attention - ANSWER ✔ Ability to take notice of something found
interesting