NUR 661 Exam 1 Study Set
Describe the clinical management of Type 2 DM. - ANS-*Metformin - CT test w/ assessment
(keep forty eight hrs. B/f and a/f)
Glucagon-like peptide-1
Insulin
*Table forty four.Five oral meds
Describe the pathophysiology of Type 1 DM. - ANS-Commonly b/f age 30
as a result of an autoimmune system insulin-producing beta cells are destroyed
Absolute loss of insulin
List commonplace scientific manifestations of Type 1 DM. - ANS-Polyuria
Polydipsia
Polyphagia
Fatigue
N/V/D & belly pain
Weight loss
Prepare a list of common DM-ANS-Hyperglycemic hyperosmolar State (HHS)
complications. DKA
*Refer to table forty four.7. Give a aware hypoglycemic affected person 15 grams of
fast-performing easy carbohydrates in this list: 3 or 4 glucose tabs
*four ounces. Fruit juice or soda
6-10 difficult chocolates
2-three tbs. Of sugar or honey
List nursing evaluation interventions of DM. - ANS-Vital signs and symptoms
serum glucose
self-management
Insulin or oral glucose control
Capillary top off
Skin evaluation (*field 44.4 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. D50
IVP or administer glucagon IM if no IV
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 clinical management of Type 2 DM. - ANS-*Metformin - CT test w/ assessment
(keep forty eight hrs. B/f and a/f)
Glucagon-like peptide-1
Insulin
*Table forty four.Five oral meds
Describe the pathophysiology of Type 1 DM. - ANS-Commonly b/f age 30
as a result of an autoimmune system insulin-producing beta cells are destroyed
Absolute loss of insulin
List commonplace scientific manifestations of Type 1 DM. - ANS-Polyuria
Polydipsia
Polyphagia
Fatigue
N/V/D & belly pain
Weight loss
Prepare a list of common DM-ANS-Hyperglycemic hyperosmolar State (HHS)
complications. DKA
*Refer to table forty four.7. Give a aware hypoglycemic affected person 15 grams of
fast-performing easy carbohydrates in this list: 3 or 4 glucose tabs
*four ounces. Fruit juice or soda
6-10 difficult chocolates
2-three tbs. Of sugar or honey
List nursing evaluation interventions of DM. - ANS-Vital signs and symptoms
serum glucose
self-management
Insulin or oral glucose control
Capillary top off
Skin evaluation (*field 44.4 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. D50
IVP or administer glucagon IM if no IV
2. Repeat 10 min.
3. If still unconscious - notify provider
List the 3 P's of Type 2 DM - ANS-*Polyuris
*Polydipsia
*Polyphagia
