QMA Insulin Test Questions and Correct Solutions | Graded A+

Be informed by the health facility where the QMA is employed that the facility - A permit the Qto administer insulin b.) Has establish a procedure for delegation of insulin from the RN to the Q C.) Has establish a procedure that includes resident specific clinical parameters based on the RN assessment of each resident and the Q competency to administer the insulin D.) has establish this resident specific parameters require a new or reassignment by the RN If the health facility does not have the above information available the Q must ___ administer insulin - NOT The pancreas serves two important functions - One produces enzymes that break down food in the intestines to produces hormones that regulate blood sugar levels The three main types of enzymes are produced by the pancreas - Lipase, protease, amylase Two main hormones are produced by the pancreas - Insulin and glucagon Lipase - enzyme that breaks down fat Protease - enzyme that breaks down proteins Amylase - enzyme that breaks carbohydrates Insulin - Brings bs down Glucagon (sugar) - Brings bs up Islets of Langerhans - Clusters of sales throughout the pancreas of produce insulin and glucagon Purpose of insulin - Is to carry glucose from the bloodstream into the cells for use of energy and fuel Purpose of glucagon - Released when blood sugar levels are low in the body needs energy to feed cells. Normal range for fasting blood glucose level - 70-110 Glucose level peak - 30 minutes after a meal and returned to baseline within three hours Pancreas is located - Right upper quadrant Keto acidosis - When there are too many Keytone circulating in the blood preventing cells from using glucose for energy Protein utilization - When there's not enough glucose in the cells to use for energy the body will break down proteins to use them for fuel. the body will not be able to use sufficient amount of protein for tissue growth and repair. this is what causes delayed healing and many residents with diabetes Fat metabolism - Insulin prevents fat for being broken down into excessive amount of substances called Ketones Diabetes is also known as - Hyperglycemia type 1 diabetes mellitus - people with type __ require insulin as her pancreas does not produce any of the hormone most with this type of diabetes or diagnosed in childhood early adulthood. type 2 diabetes - This form produces insulin but the body does not use it efficiently this is also known as insulin resistant risk factors for type ____ diabetes may be related to poor lifestyle choices in excess of body fat this type is usually diagnosed in adulthood the growing obesity rate and children has caused a risk of type ___ diabetes and children Three P's of diabetes - Polyuria ( frequent urination to get excess sugar out of the body.) Polydispia ( frequent thirst to make up for the fluid loss from polyuria ) Polyphagia ( frequent hunger because the body is trying to get that extra sugar for energy ) Signs & Symptoms of Hyperglycemia • - • Frequent /unusual thirst (polydipsia) Frequent urination (polyuria) Frequent/ extreme hunger (polyphagia) Unusual weight loss, Blurred vision, Fruity odor to breath ,Extreme fatigue ,Irritability, shortness of breath, dry mouth, deep labored breathing, slow reflexes and slurred speech Hyper glycemia results - High blood sugar diabetic coma Hyperglycemia & hypoglycemia action - Check blood sugar contact nurse Diabetic diet - Skipping or omitting meals can cause changes in blood sugar levels for that reason meal consumption is important. Food substitution should be offered. Sugar and sugar containing food should be monitored. Diabetic activity - Physical activity increases insulin sensitivity improves glucose tolerance and promotes we control. Exercise is an important tool in managing diabetes. The level of excretion should match the individuals level of fitness