Medsurg final 6 Flashcards
Beta cell destruction leading to zero insulin
type 1 DM
Onset time of DM 1
sudden
Symptoms of DM 2, but not 1
infections
blurred vision
fatigue
impotence
Management of DM 1: counting
carbs
DM 1 and 2, which one definitely needs insulin right off the bat
1
4 general steps of DM 2 tx
Diet, exercise
Oral Agents
Oral and insulin
Insulin
Prediabetes: Blood glucose levels when fasting are
100 to 125 mg/dL
Prediabetes: HbA1C of
5.7% to 6.4%
DKA tx: Slow IV infusion by IV pump of ___ ___
regular insulin
DKA tx: Careful replacement of _____ based on lab data
potassium
DKA tx: Usually with isotonic IV fluids, ___, until stabilized
NS
DKA tx: too rapid infusion of insulin to lower serum glucose can lead to ___ ___
cerebral edema
Eye findings of DM2: ___ and ___
retinopathy and cataracts
DM2 finding: Hair loss on extremities, indicating
poor perfusion
DM2 finding: peripheral pulses
weak or absent
DM2 finding: nails
thick (everyone at the VA)
Diabetic nephropathy is the primary cause of
end-stage renal failure
DM2 finding: Nighttime
diarrhea
DM2 finding: Female:
vaginal dryness
DM2 finding: Psychosocial
Depression
DM1: Psychosocial issue for women
Increased risk of developing anorexia and bulimia
DM: Overall goal is to make healthy nutritional choices
and eat a ___ diet
varied
DM diet: foods high in ___ carbs
complex carbs
DM diet: ____ beverages can be included in diet with
proper planning
Alcoholic
