DM

Question 1

Only podiatrist can cut DM patients toe nails

T or F

Answer 1

F.

Family, HCP CAN DO IT TOO

Question 2

DM patient. Which do will the LPN report immediately

1. BS 185
2. Numbness fingers & toes
3. Profuse perspiration
4. Bunion on left great toe

Answer 2

Profuse perspiration - Hypoglycemia and needs intervention

Numbness & bunion are common in DM

Question 3

Type 1 which are true of exercise

1. Exercise guidelines are based off BS & ketones
2. Test your BS only after exercise
3. You can vigorously exercise if BS is 100 - 250
4. Exercise will resolve ketones in urine
5. 5 - 10 min warm up and cool down should be included in exercise
6. Unplanned exercise, increase intake of carbs

Answer 3

1. Exercise guidelines are based off BS & ketones
2. You can vigorously exercise if BS is 100 - 250
3. 5 - 10 min warm up and cool down should be included in exercise
4. Unplanned exercise, increase intake of carbs

Not
4. Exercise will resolve ketones in urine
2. Test your BS only after exercise

Question 4

Post op which requires immediate attention

1. BP 132/80 to 138/84
2. Temp 98.4 to 99
3. RR 18 to 22
4. BS 190 to 236

Answer 4

4. BS 190 to 236

Maintain BS between 140 - 180

This increase may suggest infection

Associated with mortality

Question 5

Test urine for keytones when BS is > ___ mg/ dL

Answer 5

280

Question 6

Which requires intervention

1. To prevent lipohypertrophy rotate injection sites from abdomen to thigh
2. Injection of insulin, grasp fold of skin and inject @ 90°
3. Always draw regular then NPH insulin (in this order)
4. Avoid injection of insulin into scare sites, it takes longer for these areas to absorb.

Answer 6

1. To prevent lipohypertrophy rotate injection sites from abdomen to thigh

Rotate in the same anatomical area.

The rest are correct answers

Question 7

Type 2 NPO for cardiac Catheterization. Should patient still get repaglinde?

Answer 7

No, this medication should only be given 1 - 30 minutes before meals.

It is a meglitinides

Question 8

ADA foot risk categories

0 has protective sensation, no peripheral vascular disease, no foot deformation

1. No protective covering, may have evidence of foot deformation
2. No protective covering, evidence of PVD
3. ……

Answer 8

History of amputation/ ulcer

Question 9

Type 2 prescribed albiglutide
Key points

1. Works in intestine in response to food intake and acts with insulin for glucose regulation
2. Increases cellular utilization of glucose which lowers glucose levels
3. Used with diet & exercise to improve glucemia control in adults
4. Oral insulin and should only be given when food is available
5. Albiglutide is administered SQ 1x weekly
6. Albiglutide should be given with caution to patients with pancreatic problems

Answer 9

1. Works in intestine in response to food intake and acts with insulin for glucose regulation
2. Used with diet & exercise to improve glucemia control in adults
3. Albiglutide is administered SQ 1x weekly

NOT
2. Increases cellular utilization of glucose which lowers glucose levels
4. Oral insulin and should only be given when food is available
6. Albiglutide should be given with caution to patients with pancreatic problems

Question 10

Foot is warm, swollen, and painful. Walking collapses the arches, shortens the foot, gives the sole a “rocker bottom “

Answer 10

Charlotte foot