PC 707 Module 8 Exam Questions and Answers

PC 707 Module 8 Exam Questions and Answers What type of diabetes is the result of autoimmune induced pancreatic beta cell destruction resulting in insulin deficiency? - Answer ️️ -Type I DM Jenna, a 67 yo diabetic female was admitted to the ER with the following signs: Dehydration Abdominal pain Vomiting Decreased level of consciousness What is going on with Jenna? - Answer ️️ -DKA What age group does Type I DM normally occur in? - Answer ️️ -Under 30 What is the symptomatic presentation of Type I DM? - Answer ️️ -(1) Involuntary weight loss (2) polyuria (3) polydipsia (4) polyphagia What is treatment for Type I DM? - Answer ️️ -Lifelong insulin treatment What is a genetically predetermined and environmentally modified condition that causes reduced tissue sensitivity to insulin? - Answer ️️ -Type II DM A decrease in insulin will cause a increase in _________________ - Answer ️️ -Glucagon How often does the American Diabetes Association recommended screening adults for DM? - Answer ️️ -Every 3 years What is the normal target for HgA1C? - Answer ️️ -5.7% Pre-diabetes HbA1c range - Answer ️️ -5.7-6.4% Diabetic control for most patients is an A1C less than ___% - Answer ️️ -7% An A1C in the ___ to ___% range may reduce microvascular complications such as retinopathy progression and albuminuria yet the increased incidence of hypoglycemic episodes increases in this range. - Answer ️️ -6% to 6.5% T/F. AIC levels should be standardized across the board. - Answer ️️ -False. Individualized What are some things that may lead to increased hypoglycemia when taking insulin? - Answer ️️ -(1) Increased work or exercise without eating (2) illness (3) emotional distress (4) other stressors Why don't some people like taking insulin? - Answer ️️ -Weight gain T/F. Tight control of AIC in the elderly is preferred over moderate control. - Answer ️️ -False What can hypokalemia lead to when a patient is taking insulin? - Answer ️️ -Can lead to respiratory paralysis How would you teach a patient how to manage hypoglycemia? - Answer ️️ -(1) Check the blood glucose level if signs or symptoms are present (2) If the blood glucose level is less than 70 mg, treat with 15 g of fast-acting carbohydrate, such as 4 oz of fruit juice of 3-4 glucose (3) Recheck the blood glucose level after 15 minutes to ensure that it has normalized Is insulin bioavailable in the stomach? - Answer ️️ -No. Must be given by injection or IM Normal fasting blood glucose Pre diabetic: Diabetic: - Answer ️️ -100 mg/dL 100-125 mg/dL 126 mg/dL Normal random glucose Pre diabetic: Diabetic: - Answer ️️ -130 mg/dL 130-199 mg/dL 200 mg/dL Lispro (Humalog), Aspart (NovoLog), Glulisine (Apidra) _________ acting; Onset _________ and peaks around ______ hour - Answer ️️ -Rapid 5-15 minutes 1 hour Regular (Humulin R, Novolin R) insulin is _____________ acting; Onset _____________ and peaks around ____ hours - Answer ️️ -Short