NUR 661 Exam 1 Study Set
Describe the scientific management of Type 2 DM. - ANS-*Metformin - CT experiment w/
contrast (maintain forty eight hrs. B/f and a/f)
Peptide-1 that resembles glucagon Insulin
*Table 44.Five oral meds
Describe the pathophysiology of Type 1 DM. - ANS-Commonly b/f age 30
Triggered via autoimmune system
insulin-generating beta cells are destroyed
Absolute lack of insulin
List not unusual scientific manifestations of Type 1 DM. - ANS-Polyuria
Polydipsia
Polyphagia
Fatigue
N/V/D & abdominal ache
Weight loss
List common complications of DM - ANS-Hyperglycemic hyperosmolar State (HHS)
DKA
*see desk 44.7
List rapid-performing carbs to offer a conscious hypoglycemic pt. - ANS-Give pt 15g of
speedy-performing simple carbs:
three or 4 glucose tabs
*4 ounces. Fruit juice or soda
6 to 10 tough candy 2-three tbs. Of sugar or honey
List nursing evaluation interventions of DM. - ANS-Vital signs
serum glucose
self-control
Insulin or oral glucose control
Capillary replenish
Skin assessment (*container forty four.4 foot care)
I's & O's
Labs (*A1C < 7)
*Urine for microalbuminuria (protein in urine indicator of kidney dysfunction)
Carbohydrate intake at meals
List nursing interventions for HHS. - ANS-Replace fluids as prescribed (monitor for
overload!)
Administer insulin & electrolytes as ordered
Monitor BG, LOC, VS, electrolyte levels, & acid-base balance
Teach prevention strategies!
List protocol for treatment of unconscious/unable to swallow hypoglycemic pt. - ANS-1. If
there is no IV, D50 IVP or glucagon intravenously 2. Repeat 10 min.
3. If still unconscious - notify provider
List the 3 P's of Type 2 DM - ANS-*Polyuris
*Polydipsia
*Polyphagia
Describe the scientific management of Type 2 DM. - ANS-*Metformin - CT experiment w/
contrast (maintain forty eight hrs. B/f and a/f)
Peptide-1 that resembles glucagon Insulin
*Table 44.Five oral meds
Describe the pathophysiology of Type 1 DM. - ANS-Commonly b/f age 30
Triggered via autoimmune system
insulin-generating beta cells are destroyed
Absolute lack of insulin
List not unusual scientific manifestations of Type 1 DM. - ANS-Polyuria
Polydipsia
Polyphagia
Fatigue
N/V/D & abdominal ache
Weight loss
List common complications of DM - ANS-Hyperglycemic hyperosmolar State (HHS)
DKA
*see desk 44.7
List rapid-performing carbs to offer a conscious hypoglycemic pt. - ANS-Give pt 15g of
speedy-performing simple carbs:
three or 4 glucose tabs
*4 ounces. Fruit juice or soda
6 to 10 tough candy 2-three tbs. Of sugar or honey
List nursing evaluation interventions of DM. - ANS-Vital signs
serum glucose
self-control
Insulin or oral glucose control
Capillary replenish
Skin assessment (*container forty four.4 foot care)
I's & O's
Labs (*A1C < 7)
*Urine for microalbuminuria (protein in urine indicator of kidney dysfunction)
Carbohydrate intake at meals
List nursing interventions for HHS. - ANS-Replace fluids as prescribed (monitor for
overload!)
Administer insulin & electrolytes as ordered
Monitor BG, LOC, VS, electrolyte levels, & acid-base balance
Teach prevention strategies!
List protocol for treatment of unconscious/unable to swallow hypoglycemic pt. - ANS-1. If
there is no IV, D50 IVP or glucagon intravenously 2. Repeat 10 min.
3. If still unconscious - notify provider
List the 3 P's of Type 2 DM - ANS-*Polyuris
*Polydipsia
*Polyphagia
