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NURS 325 Exam 3 Study Guide/64 Questions And Answers (A+)
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NURS 325 Exam 3 Study Guide/64Questions And Answers (A+)
Quiz :signs and treatment of hypoglycemia -
√Answer :sweating , trembling, tachycardia, cool/clammy
administer 15-20g of simple carb if alert//
1mg glucagon IM or subq if pt not alert enough to swallow//
in acute settings, may push 20-50ml 50% dextrose IV push
Quiz :signs and treatment of hyperglycemia -
√Answer :excessive thirst, excessive hunger, excessive
urination
administer insulin as prescribed//additional insulin prn
Quiz :Blood glucose levels (fasting plasma glucose) -
√Answer :normal: 70-99 mg/dL
low: <70 mg/dL
high: >/=126 mg/dL
**IF glucose <70, administer hypoglycemic treatment then
recheck blood sugar every 15 min until 70.
Quiz :Rapid insulin - √Answer :lispro/aspart/glulisine
onset: 10-30min
peak: 30min-3hr
duration: 3-5hr
Quiz :Short-acting insulin - √Answer :Regular
onset: 30min-1hr
peak: 2-5hr
duration: 5-8hr
Quiz :intermediate acting insulin - √Answer :NPH
, onset: 1.5-4hr
peak: 4-12hr
duration: 12-18hr
Quiz :long acting insulin - √Answer :glargine/detemir/degludec
onset: 0.8-4hr
peak: none
duration: 16-24hr
Quiz :inhaled insulin - √Answer :afrezza
onset: 12-15min
peak: 1hr
duration: 2.5-3hr
Quiz :Sulfonylureas (type ii dm drug therapy) -
√Answer :glipizide, glyburide, glimepiride
increase insulin products from pancreas
**HYPOGLYCEMIA RISK
Quiz :Metforman (type ii dm drug therapy) - √Answer :class:
biguanides
brand name: Glucophage
-decrease glucose production by liver
-enhance insulin sensitivity at tissues
-improve glucose transport into cells
-does NOT promote wt gain
Quiz :Diabetic Foot care - √Answer :change shoes frequently,
wash feet with soap and water, inspect shoes for foreign
objects
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