NP235 Unit 6 Endocrine System
●or surgical removal of the pituitary gland, is most commonly performed microsurgically via the
nose or at the junction of the gums and upper lip. - ANS-What is a hypophysectomy?
Extreme thirst (polydipsia)
Frequent urination (polyuria)
Extreme hunger (polyphagia)
Rapid loss of weight
Irritability
Weakness and fatigue
Nausea and vomiting - ANS-Usual Symptoms with Type 1 Diabetes
In an attempt to rid itself of acidosis produced by ketones, the body increases respiratory rate
and depth (Kussmaul respirations).
Acetone, a ketone body, is excreted in the urine, causing acetonuria or ketonuria, and from the
lungs, which can be detected in the characteristic
fruity odor to the breath.
As the kidney excretes excess glucose and ketones, it also eliminates large quantities of water
and electrolytes. - ANS-Classic symptoms of ketoacidosis
Examples of long acting insulins include
Extended insulin zinc insulin (Ultralente)
Insulin glargine (Lantus)
Insulin detemir (Levemir)
Insulin degludec (Tresiba) - ANS-When reinforcing insulin teaching with a client, what would be
an example of long acting insulin?
high blood glucose levels because of illness or added stress, such as infection.
Glucose levels greater than 600 mg/dL are common; in some cases, the blood glucose can
reach well over 1000 mg/dL.
The extremely high level of glucose in the blood causes severe dehydration and circulating fluid
volume depletion secondary to osmotic diuresis.
HHS is different from DKA because a small amount of circulating insulin remains available,
resulting in the absence of ketosis and acidosis - ANS-What is the main cause of hyperosmolar
state (HHS) in people with DM2?
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