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341 Exam 3 > Diabetes > Flashcards

Diabetes Flashcards

1
Q

What syndrome increases risk for type 2

A

metabolic

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2
Q

Testing for prediabetes

A

IGT: 140-199

IFG: 100-125

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3
Q

Classic symptoms of type 1`

A

Polyuria

Polydipsia

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4
Q

Type 1 SUGARR

A 
Slow wound healing
Blurry vision
Glucosuria
Acetone breath
Rashes on skin
Repeated yeast infections
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5
Q

Type 2: 4 S’s

A

Sepsis
Stress
Steroids
Skipping insulin

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6
Q

Type 2 diabetes manifestations

A 
Fatigue
Recurring infection
Vaginal yeast/candida infection
Prolong wound healing
Visual problems
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7
Q

A1C levels

A

6.5 or higher

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8
Q

Fasting BG

A

> 126

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9
Q

2 hour glucose levels

A

> 200

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10
Q

Weight loss for type 2

A

5-7% improves insulin sensitivity

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11
Q

Carb counting:

A

15g of CHO

typically 45-60g per meal

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12
Q

When to test BG

A 
before meals
two hours after last bite
When hypo is suspected
every 4 hrs during illness
before/after exercise
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13
Q

Signs of DKA eyes

A

soft

sunken eyes

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14
Q

Signs of DKA skin

A

Dry
warm
inelastic skin

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15
Q

Signs of DKA respiratory

A

Kussmaul respirations (rapid & deep)

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16
Q

Signs of DKA cardio

A

hypotension
weak
rapid pulse

17
Q

Signs of DKA GI

A

fruity breath

18
Q

Labs

A

leukocytosis
BUN, Cr
Increased triglycerides
Decreased HDL

19
Q

Objective data

A

Glycosuria
Ketonuria
Albuminuria
Acidosis

20
Q

Diabetic risk factos

A 
Age
Ethnicity
obestiy
baby greater than 9 lbs
H/O gestational diabetes
Family history of diabetes
21
Q

Acute care

A

check BG every 4 hours during illness

22
Q

If glucose >240

A

check urine for ketones every 3-4 hrs

23
Q

Two consecutive levels greater than 300 or moderate to high urine ketone levels should

A

be reported to HCP

24
Q

Increase what for type 1?

A

Insulin to avoid DKA

25
Q

Acute illness

A

maintain normal diet
increase noncaloric fluids
Supplement with CHO containing fluids

26
Q

Intraoperative period

A

IV fluids/insuiln when NPO

27
Q

Caregiver instructions

A

Assess meaning of having diabetes
determine mutual goals
support system

28
Q

Regular foot care

A

inspect daily
avoid going barefoot
proper footwear

29
Q

Obtain A1c blood test every

A

3-6 months

30
Q

Self monitoring instructions

A

Wash & dry hands
warm hands in water or let arm hand
use side of finger pad

31
Q

Exercise: if Bg is <100

A

eating 15 g carb; recheck after 15-30 min

delay if still less

32
Q

Exercise: if bg >250

A

in type 1 with ketones; delay vigorous activity until ketones are gone

341 Exam 3 (15 decks)

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