diabetes management Flashcards
1
Q
basal insulin for a well patient
A
0.5 - 1.0u
2
Q
TDD for well controlled patient
A
0.4 - 0.6 u/kg/day
3
Q
TDD for pt with mult risk factors
A
0.3 - 0.4 u/kg/day
4
Q
TDD for pt w insulin drip w nutrition
A
gtt hrly rate x 20
5
Q
how to add insulin to oral agent
A
PO same dose
insulin: single dose, evening
DM2: 0.2 - 0.6 u/kg
non-DM2 hypergly: 0.1 - 0.3 u/kg or 10u basal
6
Q
non-critically ill goal fasting & random BG
A
fasting: lt 140
random: lt 180
7
Q
critically ill patient basal insulin req
A
- 01 u/kg/hr
target: 140 - 180 mg/dL
8
Q
hypoglycemia mgmt x3
A
- 15 - 20g glucose (any form of CHO)
- repeat in 15” if s/s continue
- follow w slow absorbing CHO
9
Q
DKA lab findings
A
- metabolic acidosis
- anion gap 15+
- bicarb lt 15
- hyperglycemia
10
Q
DKA clinical presentation
A
kussmaul respirations
fruity breath
hypotension
