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NUR 612 Ch 41 - Diabetes/metabolic syndrome Questions With Complete Solutions
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NUR 612 Ch 41 - Diabetes/metabolic syndrome Questions With Complete Solutions
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NUR 612 Ch 41 - Diabetes/metabolic syndrome QuestionsWith Complete Solutions
Blurry vision is a symptom of diabetes. What causes it? Correct
Answers hyperosmolar body fluids
Can fatty acids be broken into glucose? Correct Answers NO -
they can never be converted to glucose
candida infections are common with diabetes. Why? Correct
Answers sugar!
Does family history predispose people to diabetes? Correct
Answers sometimes with type 1, but very often with type 2
How are amino acids stored? Correct Answers in converted
forms as fatty acids, ketones, glucose, or body proteins
How do you treat the Dawn phenomenon? Correct Answers
increase basal insulin dose
How does growth hormone impact blood glucose? Correct
Answers antagonizes the effects of insulin while increasing
protein synthesis in all cells and mobilizing fatty acids from
adipose tissues.
GH levels increase during periods of fasting, exercise,
anesthesia, fever, trauma, and increased need for glucose
(starvation?).
, How does obesity play into diabetes? Correct Answers 80-90%
of people with type 2 DM are also overweight.
Central obesity correlates with insulin resistance
insulin resistance and increased glucose production occur in
obese people due to an increased concentration of fatty acids
How does type 1 diabetes onset? Correct Answers abruptly,
typically with symptoms and severe ketoacidosis
How does type 2 diabetes onset? Correct Answers gradually,
often asymptomatically
How is DKA treated? Correct Answers decrease blood glucose,
correct acidosis and electrolyte imbalances, and improve
circulatory volume and tissue perfusion (fluids)
How is the somogyi effect diagnosed, and how is it treated?
Correct Answers test blood sugar levels before bed, at 3 AM,
and in the morning.
Treat by decreasing bedtime insulin dose
If glucose is not needed it will be put in storage. If it isn't stored
as glycogen, what is the other option and where does that
storage happen? Correct Answers fatty acids stored as
triglycerides in fat cells
Insulin must be given subQ. Why can't it be given PO? Correct
Answers Insulin is destroyed in the GI tract
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