100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
Previously searched by you
NUR 6121 Advanced Nursing II 2024 – 2025 NUR 612 Adv Nursing 2 Exam 2 Part 1 SG - Study Guide with Verified Solutions | 100% Pass Guaranteed | Graded A+ |$14.99
Add to cart
EPIDEMIOLOGY
1.25 million Americans have T1D
Most common in people younger than 20 years
Most common metabolic disease in children
Represents 1 in 400-600 children
Peak onset age is 11 to 13 years, but
incidence also increase in late 30s to early 40s
5% of all new diabetes diagnoses in adults
RISK FACTORS
Genetic Susceptibility:
(presence of HLA haplotypes on chromosome 6: DR4-DQ8or DR3-DQ2)
T1DM or T2DM in a first degree relative
Viral Infections
Immunization
Diet
Higher Socioeconomic Status
Obesity
Vitamin D deficiency
Perinatal factors such as maternal age, and Low Birth weight
CLINICAL MANIFESTATION
Classic new onset of chronic
polydipsia, polyuria,
polyphagia
weight loss with hyperglycemia and ketonemia (or ketonuria)
Diabetic Ketoacidosis
Dehydration
Decreased Energy level
Confusion
Fruity odor to breath
In young children or infants, failure to grow and
gain weight
PHYSICAL EXAMINATIONS AND SCREENINGS
Vital signs and BMI
Fundoscopic and visual examination to screen for diabetic retinopathy look
for neovascularization, microaneurysms.
Auscultate heart for rate, rhythm, murmur, clicks or extra heart sound
Palpation of thyroid to rule out thyroid disorders
Skin examination for signs for dehydration
Neurological examination for neuropathy
Feet examination for pulses, swelling, nail thickness, gangrene
Psychosocial screening for depression
Downloaded by Jack mah
(mungaidavid2000@gmail.com)
, lOMoARcPSD|46692070
DIAGNOSTIC CRITERIA
To distinguish T1DM from T2DM
o C-peptide insulin level (normal 0.5 to 2 ng/mm) - Below normal in T1DM
and normal or above normal in T2DM.
o Insulin level: little or no insulin T1DM
o Presence of Autoantibodies
Anti-glutamic acid decarboxylase, insulin autoantibodies, and islet-cell
antibodies
TREATMENT: PHARMACOLOGIC
Treated with intensive insulin regimens, either via multiple daily injections or
continuous subcutaneous insulin infusion
Insulin therapy:
o Rapid acting: Lispro, Aspart
o Short acting: Regular(HumilinR/Novolin R)
o Intermediate acting: NPH (HumilinN/Novolin N)
o Long acting: Gargline (Lantus, Levemir}, Toujeo
o Insulin pump:Humalog, Novolog, Apidra
CALCULATIONS OF DAILY INSULIN REQUIREMENTS
Downloaded by Jack mah
(mungaidavid2000@gmail.com)
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller YourAssignmentHandlers. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $14.99. You're not tied to anything after your purchase.
