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mark klimek > lecture 5 diabetes etc > Flashcards

lecture 5 diabetes etc Flashcards

1
Q

diabetes insipidus affects what

A

fluids

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2
Q

will a pt with diabetes insipidus have a problem w their glucose

A

no (diabetes darth sidious because aint shit sweet)

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3
Q

is diabetes insipidus a type of diabetes (darth sidius)

A

no it doesnt affect glucose and aint shit sweet w darth sidius

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4
Q

diabetes insipididus is diabtes w/o glucose bcause it has

A

polydipsia and polyuria

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5
Q

what does diabetes insipidus cause due to polyuria and polydipsia

A

dehydration

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6
Q

what does dehydration in diabetes insipidus cause

A

low ADH

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7
Q

what is the oppisite of diabetes insipidus

A

SIADH

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8
Q

pt with DM and diabetes insipidus would have what kind of urine output

A

high urine output (diabetics and darth sidius are pissed alot)

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9
Q

why is SIADH opposite of diabetes insipidus

A

SIADH pts arent thirsty and dont pee alot (oliguria and no thirst)

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10
Q

who is darth sidius biggest opp cause theyre opposites

A

SIADH

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11
Q

a pt with SIADH would have what kind of urine output

A

decreased

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12
Q

how will serum specific gravity be in a pt with SIADH

A

low because they retain water

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13
Q

how will urine specific gravity be in pt w SIADH

A

increased because they have more urine

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14
Q

if pt has fluid volume deficit is it DM, DI or SIADH

A

DM and DI

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15
Q

darth insipidus is the same as what without glucose

A

diabetes

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16
Q

fluid volume excess would be which: DM, DI or SIADH

A

SIADH

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17
Q

treatment for type I DM (DIE)

A

Diet
insulin
exercise

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18
Q

which is the most important treatment for type I DM

A

insulin

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19
Q

which is the least important treatment for type I DM

A

diet (calories from carbs)

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20
Q

treatment for type II DM (DOA)

A

diet
oral hypoglycemic
activity

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21
Q

what is the most important treatment for type II DM pt

A

diet

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22
Q

what kind and how often should type 2 DM pts eat

A

6 small frequent meals

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23
Q

why do diabetics need small frequent meals

A

keep their glucose stable

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24
Q

what is the most improtant treatment for type 2 DM

A

calorie restriction

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25
Q

what is more important type 2 dm? calorie restriction or dividing meals into 6 feedings a day

A

calorie restriction

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26
Q

what color is regular insulin

A

clear

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27
Q

can u give lispro with a meal

A

no

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28
Q

when should u give lispro

A

with a meal

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29
Q

when does lispro start working

A

15 mins

30
Q

when does lispro peak

A

30 mins

31
Q

how long does lispro last

A

3 hrs

32
Q

what is the pattern for lispro

A

15-30-3

33
Q

15-30-3

A

lispro

34
Q

when does regular insulin start working

A

1 hour

35
Q

when does regulr insulin peak

A

2 hrs

36
Q

how long does regular insulin last

A

4 hrs

37
Q

what is the pattern for regular insulin

A

1-2-4

38
Q

1-2-4 is the pattern for what insulin

A

regular

39
Q

what color is NPH insulin

A

cloudy

40
Q

when does NPH start working

A

6 hrs

41
Q

when does NPH peak

A

8-10 hrs

42
Q

how long does NPH last

A

12 hrs

43
Q

what is the pattern for NPH

A

6-8-10-12

44
Q

how to find peak of insulin when given time

A

add peak time to what time u gave insulin

45
Q

when does glargine peak

A

never

46
Q

how long does glargine last

A

12-24 hrs

47
Q

which type of insulin can u safely give at bedtiime

A

glargine (long acting)

48
Q

when should u give glargine insulin

A

at bedtime

49
Q

what should u always check before giving insulin

A

expiration date

50
Q

how many days is insulin good for after opening it

A

30 days

51
Q

what should u do w open insulin without an expiration date

A

throw it out

52
Q

do u have to refrigerate insulin after its opened

A

no

53
Q

when should u refrigerate insulin

A

when its unopened

54
Q

when should u decrease insulin dosage

A

before exercisew

55
Q

what should u do with insulin before exercise

A

decrease dose

56
Q

what should u give pt before exercise who is on insulin

A

rapidly metabolized carbs

57
Q

what happens to glucose lvls if dm pt is sick

A

it goes up

58
Q

what are the 2 problems sick diabetics have

A

hyperglycemia and dehydration

59
Q

what is DKA

A

high glucose in a type I DM pt

60
Q

what causes DKA

A

too much food
not enough insulin
not enough exercisse
acute upper resp infection in the past 2 weeks

61
Q

acute viral upper resp infection in past 2 weeks can cause what in DM pts

A

DKA (high glucose)

62
Q

DKA signs and symptoms (DKA is acronym for symptoms)

A

-Dehydration
-Ketones in blood, kussmauls and high K+
-Acidosis, acetone breath, anorexia due to nausea

63
Q

how to treat DKA

A

regular insulin (IV insulin)
IV fluids 200mL/hr

64
Q

HHNK is caused by what and affects what kind of DM

A

high glucose in. type 2 dm pt
severe dehydration

65
Q

will a pt w hhnk have a fluid volume deficit or excess

A

deficit (dehydration)

66
Q

what are u trying to do for a pt with hhnk

A

rehydrate them

67
Q

what chronic conditions can HHNK cause

A

poor perfusion
peripheral neuropathy

68
Q

which relies more on insulin DKA or HHNK

A

DKA

69
Q

which disease priority is rehydration? DKA or HHNK

A

HHNK

70
Q

which disease is a higher priority DKA or HHNK

A

DKA

71
Q
A

mark klimek (11 decks)

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