Study Guide

Question 1

American diabetes association diet

Answer 1

9” plate

1/2 non-startchy carbs
1/4 starchy carbs
1/4 lean protein

Water / zero cal drink

Question 2

Insulin pumps use what kind of insulin?

Answer 2

Rapid

Lispro, aspart, glulisine

Question 3

ABG DKA

Ph ….
Serum Bicarbonate
Presence of ketouria/emia
Anion gap
Plasma glucose

Answer 3

Ph <7.30
Serum Bicarbonate <18
Presence of ketouria/emia
Anion gap >10 MEq/L
Plasma glucose >250mg / dL

Question 4

Lab value to monitor for patients take steroids.

Answer 4

BS Hyperkalemia
K hypokalemia
Na Hypernatremia
AST & ALT Elevated
Renal function Decreased GFR, Increased serum creatinine/ BUN

Question 5

Why might a patient be taken off an oral glucose medication and placed in a sliding scale

Answer 5

Inadequate glycemic control
Hyperglycemia during acute illness
Surgical procedure
Steroid therapy
Renal dysfunction

Question 6

Impaired fasting glucose …

Low glucose…

Answer 6

IFG = LEVEL BETWEEN 100 - 125

LOW GLUCOSE = <70

Question 7

Teaching points for new diabetics

Answer 7

What diabetes is
BS monitoring
Medication
Diet & Nutrition
Physical activity
S/S hypo/Hyperglycemia

Question 8

DKA symptoms

Answer 8

3 Ps
BS >250
FATIGUE
N/V
Kussmaul
Fruit breath
Confusion
Dehydration

Question 9

Treat DKA how?

Answer 9

Fluid replacement
Insulin administration
Electrolyte replacement K /NA
Monitor BS
ID underlying cause