Hondros 212 Exam 3 ELABORATIONS QUESTIONS
AND VERIFIED ANSWERS 2025 UPDATE | 100%
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Terms in this set (104)
Depression, T2DM, metabolic syndrome, polycystic
ovary disease, sleep apnea, asthma, pulmonary HTN,
menstrual irregularities, infertility, gestational
Health risk associated with diabetes, huperlipidemia, sudden cardiac death, a fib,
obesity HTN, CAD, DVT, right sided HF, NASH, gallstones,
GERD, kidney cancer, CKD, esophagus, pancreas,
thyroid, colorectal and gallbladder cancer, breast and
ovarian cancer
Nutritional therapy for Restricting dietary intake so that it is below energy
obesity requirements- includes all food groups
BMI of 40 or more or a BMI of 35 or more with other
Criteria guidelines for
significant co-morbidities (HTN, T2DM, HF, sleep
bariatric surgery
apnea)
Disadvantages of Roux- Leak at site of anastomosis, anemia, calcium
en-Y gastric bypass deficiency, dumping syndrome, irreversible
Gastric contents empty too rabidly into the small
intestine, overwhelming its ability to digest nutrients.
Dumping syndrome Symptoms include n/v, weakness, sweating, faintness
and sometimes diarrhea. Pt is instructed to avoid
sugary foods after surgery
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tachycardia, fever, tachypnea, chest and abdominal
Anastomosis leak
pain
assess for cardiopulmonary complications, thrombus
formation, anastomosis leaks and electrolyte
Post operative care for imbalances, maintain the head of the bed at a
bariatric surgery minimum of a 45 degree angle to reduce abdominal
pressure and increase lung expansion, pts should not
consume fluids with meals
is a group of metabolic risk factors that increase a
Metabolic syndrome person's change of developing CVD, stroke, diabetes.
definiton It is a cluster of heath problems, including obesity,
HTN, abnormal lipid levels, and high blood glucose
The main underlying risk Insulin resistance related to excess visceral fat
factor for metabolic
syndrome
Need any 3 of the 5- waist circumference- >40in in
men and >35 in women, Triglycerides- >150 or on drug
treatment for high triglycerides, HDL cholesterol- <40
Criteria for metabolic
in men <50 in women or drug treatment for high
syndrome
cholesterol, BP- >130 sys >85 diastolic or on drug
treatment for HTN, fasting blood glucose >100 or on
drug treatment for elevated blood glucose
Signs and symptoms of Impaired fasting blood glucose, HTN, abnormal
metabolic syndrome cholesterol levels and obesity
counterregulatory glucagon, epinephrine, GH, cortisol
hormones- increase blood
glucose levels
C peptide in serum and useful clinical indicator of pancreatic b cell function
urine and insulin levels
Signs and symptoms of polyuria, polydipsia, polyphagia, weight loss may
type 1 diabetes occur, weakness and fatigue
signs and symptoms of poor wound healing, recurrent infections, dry skin, 3
type 2 diabetes Ps, drowsiness, hunger
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A1C of 6.5 or higher, fasting plasma glucose level of
126 or greater, a 2 hour plasma glucose level of 200 or
greater during an OGTT using a glucose load of 75g,
Diagnosis of diabetes in a pt with classic symptoms of hyperglycemia
(polyuria, polydipsia, unexplained weight loss) or
hyperglycemic crisis, a random blood glucose level of
200 or more
provides a measurement of blood glucose levels over
A1C (glycosylated the previous 2 to 3 months
hemoglobin) Diseases affecting RBCs (anemia) can influence the
AIC
Goal A1C for pts with less than 7.0
diabetes
Is another way to assess glucose levels,, reflects
Fructosamine
glycemia in the previous 1 to 3 weeks
testing is primarily done to help distinguish between
Islet cell antoantibody autoimmune type 1 diabetes and diabetes from other
causes
Onset 10-30 min
Rapid acting insulin (lispro,
Peak- 30 min- 3hr
aspart)
Duration- 3 - 5 hour
Onset 30min- 1hr
Short acting (regular Peak- 2-5hr
Humulin R, Novolin R) Duration- 5-8hr
ONLY INSULIN THAT CAN BE GIVEN IV!!
Onset- 1.5-4hr
Intermediate acting insulin Peak- 4-12hr
(NPH) Duration- 12- 18hr
Gently agitate before administering
Onset- 0.8-4hr
Long acting insulin no peak
(glargine, detemir) Duration- 16-24hr
DO NOT MIX WITH ANY OTHER INSULIN
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