LCCW GIGU: Diabetes, Diabetes GIGU, Lewis's Medical Surgical Nursing 11th Edition Harding Test Bank, Chapter 48: Diabetes Mellitus Lewis: Medical- Surgical Nursing, 10th Edition, diabetes nclex review |Guaranteed Success

LCCW GIGU: Diabetes, Diabetes GIGU, Lewis's Medical Surgical Nursing 11th Edition Harding Test Bank, Chapter 48: Diabetes Mellitus Lewis: Medical- Surgical Nursing, 10th Edition, diabetes nclex review |Guaranteed Success IDDM- Type 1 diabetes mellitus is _____ onset occurring at what ages? - Ans:-juvenile; 8-15 years (may also be seen in adult, now seeing equal occurrences) destruction left behind from IDDM- Type 1 diabetes mellitus is called _____ - Ans:-insulitis syndrome of IDDM- Type 1 diabetes mellitus is characterized by ______ - Ans:-hyperglycemia due to impaired insulin secretion IDDM- Type 1 diabetes mellitus is caused by ______ - Ans:-immunologically mediated destruction of beta cells (genetics) IDDM- Type 1 diabetes mellitus accounts for ____ of all diabetes - Ans:-5-10% ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 2/137 IDDM- Type 1 diabetes mellitus is associated with ______ & ____ if not treated - Ans:-acute ketoacidosis & coma S&S of IDDM- Type 1 diabetes mellitus - Ans:-1. polyphasia 2. polyuria 3. polydipsia cidosis 5. tiredness 6. weight loss Diagnoses for IDDM- Type 1 diabetes mellitus - Ans:-1. fasting glucose test 2. plasma glucose test 2 hrs after a challenge 3. serum glucose 150-200 beginning 4. 300-500 moderate 5. severe DM over 500 ketoacidosis is found in which type of diabetes? - Ans:-IDDM- Type 1 diabetes mellitus Treatment for IDDM- Type 1 diabetes mellitus - Ans:-1. insulin injection ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 3/137 2. constant plasma glucose monitoring after meals & at bedtime Complications of diabetes - Ans:-1. atherosclerotic coronary artery disease 2. diabetic retinopathy 3. diabetic nephropathy 4. diabetic neuropathy 5. foot ulcers 6. charcot's joint What does AGE stand for - Ans:-Advanced glycation end product (glucose derivative + plasma protein) NIDDM-Type 2 Diabetes Mellitus _____ onset occurring at what ages? - Ans:-adult; 40-50 y.o. NIDDM-Type 2 Diabetes Mellitus is seen in children at this point as ______ - Ans:-MODY (mature onset diabetes in young) NIDDM-Type 2 Diabetes Mellitus is associated with _____ & _____ lifestyle - Ans:-obese & sedentary NIDDM-Type 2 Diabetes Mellitus is ______ with relative insulin deficiency - Ans:-insulin resistance ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 4/137 NIDDM-Type 2 Diabetes Mellitus findings include hyper_____ & hyper_____ - Ans:-hypertension; hypertriglyceridemia S&S of NIDDM-Type 2 Diabetes Mellitus - Ans:-1. polyphasia 2. polyurua 3. polydipsia 4. ketoacidosis rare 5. nonketotic hypersmolar coma Diagnosis for NIDDM-Type 2 Diabetes Mellitus - Ans:-1. Same as type 1 2. measure c-peptide 3. glucose test 4. fasting 126 mg/dl 5. OGTT 200 mg/dl Treatment for NIDDM-Type 2 Diabetes Mellitus - Ans:-early stage: diet & exercise middle stage (impaired glucose tolerance): diet, exercise, and medication to increase insulin action & function ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 5/137 late stage: insulin shots Central Diabetes insipidus is characterized by _____ due to a _____ - Ans:-excessive urination; deficiency of ADH Diabetes insipidus involves inflammation, tumor, or trauma to the _____ & _____ - Ans:- hypothalamus & pituitary _______ Diabetes insipidus is a result of renal tubular unresponsiveness to ADH - Ans:-nephrogenic Diabetes insipidus may occur at what age? - Ans:-any age S&S of Diabetes insipidus - Ans:-Polyuria Polydipsia Nocturia What test is used as Diagnosis for Diabetes insipidus - Ans:-water deprivation test water deprivation test involves taking what samples & doing what in the morning? - Ans:-blood, urine sample & weighing patient What must you prevent during the water deprivation test - Ans:-prevent patient from drinking water _____ is collected hourly during water deprivation test - Ans:-voided uric ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 6/137 test stops when ______ & _____ appear, or when 5% or more of _____ has been lost - Ans:- orthostatic hypotension & postural tachycardia; initial body weight specific ______ is measured with water deprivation test - Ans:-gravity & osmolarity of uric Treatment for Diabetes insipidus - Ans:-1. hormonal therapy (desmopressin acetate, nasal spray) 2. non hormonal therapy: diuretics (thiazide) & ADH releasing drugs (chlorpropamide & carbamazepine) What is diabetes mellitus? - Ans:-A chronic multisystem disease related to abnormal insulin production, impaired insulin utilization, or both What is the normal process of glucose and insulin metabolism? - Ans:-Insulin is a hormone produced by the B-cells in the Islets of Langerhans or the pancreas. Usually insulin is releas