GNUR 297 EXAM 2 STUDY GUIDE | 100% SATISFACTION

GNUR 297 EXAM 2 STUDY GUIDE Chapter 15 – Diabetes • Understand the clinical complications of DM o • Know what individuals are at greatest risk for diabetes (both adults and children) o • Understand metabolic syndrome and the ATP III guidelines for defining metabolic syndrome (you need to have three out of five of them to be dx w/metabolic syndrome) o • Goals for pre-prandial, peak post-prandial bsl in type 1, type 2, and gestational dm o • Know what HbA1c measures, and goals o • Know the MNT for type 1, type 2, and gestational dm o • Understand how carbohydrate counting is used in diabetic meal planning o • Know how exercise affects bsl in a diabetic and appropriate pre and post workout recommendations o • Understand the 15-15 rule to treat hypoglycemia Chapter 16 – Stress • Know how the body differs in its response to stress versus starvation o Starvation = hypometabolic ? Downshift ? 8-12hr glycogen stores last ? Gluconeogenesis – protein ? carbs ? waste o Stress = Hypermetabolic ? Upshift ? Catabolism of Protein ? Ketosis • Ebb – maintain blood flow to vital organs • Flow – Upregulation – more O2 and ups nitrogen production • Be able to calculate the calorie needs of a critically ill patient (25-30 kcal/kg) o Kg x 25 – 30cal = range of cals for the day • Understand the purpose of a doing a nitrogen balance test on a patient and what it means to be in a positive or negative nitrogen balance o + = building o - = breaking down