Diabetes Flashcards

1
Q

Results of diabetes are from what

A

altered insulin secretion, altered insulin action (how the body uses insulin), or both

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2
Q

What can too much glucose in the blood stream do

A

decrease perfusion, affecting fine body systems

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3
Q

What body systems to focus on in assessments

A

eyes, kidneys, nerves, cardiac function

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4
Q

Changes to cardiac function

A

decreased CO, peripheral neuropathy

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5
Q

Is DKA more common in type 1 or type 2

A

type 1

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6
Q

What is DKA caused by

A

an absence or inadequate amount of insulin

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7
Q

s/s of DKA

A

hyperglycemia, dehydration with electrolyte imbalance, acidosis from a build-up of ketones, orthostatic hypotension, acetone breath, kussmaul respiration

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8
Q

Treatment for DKA

A

fluid and electrolyte replacement then insulin administration

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9
Q

What to monitor with potassium level decrease

A

cardiac function

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10
Q

What increases the excretion of potassium

A

rehydration

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11
Q

Is HHS more common in type 1 or type 2

A

type 2

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12
Q

treatment of HHS

A

fluid and electrolyte replacement then insulin administration

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13
Q

What labs need to be monitored with IV insulin drips

A

potassium and sodium

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14
Q

What type of insulin is used for IV insulin drips

A

regular insulin

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15
Q

how does cerebral edema occur during IV drip

A

fluid shifts and rapid correction of hyperglycemia

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16
Q

What type of saline can be used

A

0.45 or 0.9 normal saline

17
Q

How fast can blood glucose be lowered

A

50-100 every hour