GLucose monitoring Flashcards

1
Q
  1. What type of glucose monitoring is most common in the clinical setting?
    a. Continuous glucose monitoring
    b. Fingerstick
    c. Earlobe
    d. Infrared Light
A

fingerstick

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2
Q
  1. Fill in the blank: Counterregulatory hormones _________ insulin.
    a. Oppose
    b. Accept
    c. Create
    d. Destroy
    e. Stimulate
A

oppose

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3
Q
  1. Which of the following isn’t an issue with finger stick blood glucose monitoring?
    A) Messy
    B) Patient safety
    C) Requires blood
    D) Unpleasant
    E) Pain
A

patient safety

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4
Q

What is the primary difference between type 1 and type 2 diabetes?
a. Age of onset
b. Presence or absence of insulin resistance
c. Genetic inheritance
d. Dietary factors

A

presence or absence of insulin resistance

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5
Q

Which of the following is NOT a common symptom of diabetes?
a. Frequent urination
b. Increased thirst
c. Unexplained weight loss
d. Feeling hungry all the time
e. Blurred vision

A

feeling hungry all the time

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6
Q
  1. Intensive control of blood sugar levels (between 80-110 mg/dl) in the ICU has the following impacts on the patients?
    a. More finger sticks causing more patient discomfort
    b. An increase in mortality among the intensive blood sugar control group relative to conventional
    c. A decrease in mortality among the intensive blood sugar control group relative to conventional
    d. None of the above
A

decrease in mortatily

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7
Q
  1. How do wearable continuous Blood Glucose measurement devices work?
    a. It samples glucose levels in the blood and responds instantly
    b. It samples glucose levels in the interstitial fluid and responds instantly
    c. It samples glucose levels in the blood and responds after a few minutes
    d. It samples glucose levels in the interstitial fluid and responds after a few minutes
A

samples in interstitial fluid and respinds after a few minutes

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8
Q
  1. Which of the following is an example of a “work-around” that PR actioners may do that will negatively impact the use of a Glucose Monitoring system and risk patient safety in the hospital?
    a. Anemic patient
    b. Dehydrated patient
    c. Alcohol wet on sensor
    d. Not barcoding to log results
A

not barcoding

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9
Q
  1. A patient walks into the Emergency room with a blood glucose below 70 mg/dl. What will one possible diagnosis be?
A

hypoclycemia

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10
Q
  1. What is diabetes?
A

Diabetes is a condition characterized by abnormal metabolism of carbohydrate, protein, and fat.

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11
Q
  1. What is the difference between hyperglycemia and hypoglycemia?
A

hyper when blood glucose levels are higher then normal
hypo when blood glucose levels are lower then normal

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12
Q
  1. How does type 1 and type 2 diabetes differ?
A

type 1 is when insulin cant be produced by the pancreas where are type two is when insulin can be procured but cells are insulin resistant

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13
Q
  1. Explain the Negative Feedback loop for hormones determining glucose levels.
A

negitive feedback is when the body releases a hormones to tell the body to stop producing something

in this case, it is between insulin and glucagon
insulin tells the body to take up glucose from the bloodstream leading to a decrease in blood sugar levels
glucagon causes the body to release glucose into the bloodstream raising blood sugar levels

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14
Q
  1. Until about 1985-1990 urine testing was the only way to monitor glucose in the body. Please explain how urine testing was conducted and some potential issues with it.
A

urine testing was reliant on benedicts solution( copper) and it chemical reaction to glucose which would change colors depending on the amount of glucose present allowing for measurement. This was not the most accurate in that the body takes time to process food so the levels in which the urine is reading are delayed.

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15
Q
  1. How does continuous glucose monitoring work? How does it improve outpatient care?
A

sensor embedded into skin reading glucose levels in the interstitial fluid. and can send readings to an app inorder to see the constant redings . It helps by reducing finger pricks and allows the patient to see fluctuations during the day and can help them better understand what effects certain food and drink have

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16
Q
  1. For the graph to the right of continuous glucose monitoring, please identify three features of this graphic that enable better patient outcomes.
A
  • The infographic allows them to look at weeklong trends in their blood sugar.
  • The infographic allows patients to get summary data of how long they were in range using a simple color scheme.
  • Patients are able to get close to real-time data regarding how their diet impacts their blood sugar levels