endocrine disorders in pregnancy

Question 1

how many meals/snacks a day should a woman with gestational diabetes have

Answer 1

3 meals
3 snacks (large bedtime snack)

Question 2

when should woman with pregestational diabetes check her blood sugar

Answer 2

5-8x/day
-fasting
-1-2 hrs pp
-bedtime
-2 am

Question 3

when should woman with gestational diabetes check her blood sugar

Answer 3

atleast 4x/day
-fasting
-1-2 hrs pp

Question 4

when is insulin required for women with gestational diabetes

Answer 4

blood sugar levels:
-fasting >95
-1 hr pp >130-140
-2 hr pp >120

Question 5

nursing management of pregnant woman with DKA

Answer 5

-fluids: NS
-electrolyte replacement
-insulin
-oxygen
-FHR and toco

Question 6

sick day management for woman with gestational diabetes

Answer 6

-keep giving insulin
-check urine ketones q4-6h (notify hcp if >moderate)
-check BS q1-2h (notify hcp if >200)
-if vomiting, sip fluids with 15-30 g carbs
-S+S DKA to report

Question 7

S+S DKA to report to hcp

Answer 7

-fruity breath
-abdominal pain
-N/V
-polyuria
-polydipsia
-leg cramps
-LOC changes
-tachycardia
-rapid respirations (kussmaul)