Test #3 Flashcards

1
Q

Blood test that measures the average blood glucose level over the past 2 to 3 months used to diagnose and monitor diabetes

A

A1C (glycated hemoglobin)

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2
Q

A1c less than 5.7%

A

Normal A1c

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3
Q

A1c 5.7% to 6.7%

A

Prediabetes A1c

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4
Q

A1c 6.5% or higher

A

Diabetes A1c

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5
Q

Blood sugar levels, diabetes medication’s, exercise, diet, and hydration affect what

A

Factors affecting A1c

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6
Q

Thyroid stimulating hormone comes from what gland

A

Pituitary gland

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7
Q

The pituitary gland releases what to trigger your thyroid to produce and release its own hormones

A

thyroxine T4 and triiodothyronine T3

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8
Q

thyroxine T4 and triiodothyronine T3 are responsible for maintaining your bodies what

A

Metabolic rate the speed at what your body transforms the food you can eat into energy and uses it

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9
Q

Symptoms of hypothyroidism

A

Fatigue, constipation, weight, gain, tachycardia

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10
Q

What is the rare life-threatening complication of hyperthyroidism where the thyroid gland produces too much thyroid hormone?

A

A thyroid storm

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11
Q

Causes that can trigger a thyroid storm

A

Untreated or poorly treated hyperthyroidism, surgery on the thyroid gland, infection, trauma, stress

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12
Q

Symptoms of thyroid that can vary, but typically include?

A

High fever, rapid heart rate, agitation, and confusion, nausea and vomiting, diarrhea, tremors, seizures, coma

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13
Q

Treatment for a thyroid storm

A

-Medication’s to block thyroid hormone production
-medication to slow down the heart rate
-cooling measures to reduce fever
-fluids and electrolytes to maintain hydration
-treatment for any underlying condition such as infection or trauma.

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14
Q

An auto immune disorder where the bodies immune system attacks and destroys the beta cells in the pancreas, responsible for producing insulin

A

Type one diabetes mellitus

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15
Q

Causes of type one diabetes mellitus

A

Unknown, but is believed to be a combination of genetic and environmental factors

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16
Q

Insulin injections work most likely when injected where

A

In the abdomen

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17
Q

What glands release epinephrine, and nor epinephrine to respond to low blood glucose

A

The adrenal glands

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18
Q

Patients at risk for hypoglycemia

A

Type one diabetes, patient who has taken a high dose of insulin

19
Q

Hypoglycemia associated autonomic failure

A

A condition where reoccurring episodes of low blood sugar lead to impaired autonomic responses and reduce awareness of hypoglycemia, making it harder to detect and treat

20
Q

Palpations tachycardia, glucose level, 40mg or lower or symptoms of?

A

Hypoglycemia

21
Q

To manage hypoglycemic episodes eat what

A

High and sugar and avoid fats and protein

22
Q

What medication is used to treat hypothyroidism

A

Levothyroxine

23
Q

Medication administration for levothyroxine

A

Take before a meal or several hours after a meal

24
Q

What is an indication for too much levothyroxine

25
Underactive thyroid doesn’t make enough hormones in the bloodstream?
Hypothyroidism
26
What is a rare life-threatening complication of severe hypothyroidism where the thyroid hormone levels are critically low?
Myedema coma
27
Effects of the thyroid medication amiodarone
Tired and tolerant to heat would have elevated thyroid hormone levels
28
Life-threatening complication of diabetes mellitus characterized by extremely high blood sugar levels and severe hydration blood sugar levels over 600 mg
HHS hyper osmolar hyperglycemic state
29
When body lacks enough insulin to a buildup of harmful ketones and blood Due to lack of insulin production, stress, illness, diet, not taking medication’s mental status changes serum bicarbonate, less than 15
DKA diabetic ketoacidosis
30
A medical treatment that destroys thyroid cells
Radioactive iodine therapy
31
When the thyroid gland produces too much thyroid, hormone symptoms are dry eyes, and light sensitivity
Hyperthyroidism
32
Cluster condition that increases the risk of developing chronic disease diseases, such as diabetes mellitus, heart disease, and stroke
Metabolic syndrome
33
Metabolic syndrome treatment
Lowering blood pressure lowering cholesterol, lowering blood sugar
34
Condition where the body produces too much antidiuretic hormone
SIADH
35
A disorder that affects the body’s ability to regulate water balance leading to excessive thirst and urination
Diabetes insipidus
36
Diabetes insipidus
Can because prime removal of pituitary, tumor or surgery Monitor for ataxia and sodium levels
37
What patient should be seen first
Patient with stroke and severe headaches
38
What is NPH insulin used for?
Control blood sugar levels, and people would type one two diabetes prevent hyperglycemia and improve glycemic control, and individuals who require intermediate acting insulin
39
If you have to order give 14 units regular insulin and 28 unit units NPH insulin subcutaneously how many syringes did the nurse use?
One syringe they are compatible and can be mixed together
40
If you’re using a glass and what action should the nurse take
Use a filter needle to draw up medication
41
0.2 mg PO clonidine 0.1 mg/tab
2 tabs
42
50 mg po atenolol 100mg/tab
0.5 tab
43
100mcg po Levothyroxine 50mcg/tab
2tabs