100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Previously searched by you
Previously searched by you
logo
NR566_Chapter 33 Complete Study Guide CA$10.76   Add to cart
Quickly navigate to
Preview
  2.  
  3. Thompson River University (TRU )
  4.  
  5. Nursing
  6.  
  7. AIT Nursing (NR566)

Other

NR566_Chapter 33 Complete Study Guide
 14 views  0 purchase

CHAPTER 33: DIABETES MELLITUS  Clinical S/Sx o T1DM- abrupt, although insulin secretion decline begins long before the symptoms develop.  Classic manifestations (new onset): • Polydipsia • Polyuria • Wt loss • Hyperglycemia • Ketonemia or ketonuria  DKA = classic s/sx...

[Show more]

Preview 2 out of 13  pages

Document information

  • February 12, 2021
  • 13
  • 2020/2021
  • Other
  • Unknown

Subjects

  • nr566 chapter 33 study guide
  • chapter 33 diabetes mellitus
  •  risk fx and associated complications
  •  clinical ssx

Written for

All documents for this subject (43)

Seller

avatar-seller
Welch1

Reviews received

Content preview

CHAPTER 33: DIABETES MELLITUS

 Clinical S/Sx
o T1DM- abrupt, although insulin secretion decline begins long before the symptoms
develop.
 Classic manifestations (new onset):
 Polydipsia
 Polyuria
 Wt loss
 Hyperglycemia
 Ketonemia or ketonuria
 DKA = classic s/sx + fruity-smelling breath + drowsiness/lethargy + vomiting
 Silent (asymptomatic) incidental discovery

o T2DM
 Polydipsia
 Polyuria
 Hyperglycemia

 Risk Fx and Associated complications
o T1DM
 Genetic
 abnormalities at six genetic loci
 mutation of the hepatic transcription factor (HNFP-1 alpha) on
chromosome 12
 defective glucokinase molecule on chromosome 7p
 Autoimmune- destruction of islet cells -> beta cells destruction
 Environmental- toxins, food antigen, viral infection
 Race- idiopathic T1DM is common among African American or Asian American.

o T2DM
 Obesity
 Race- native americans, Asian americans, latinos, pacific islanders, african
americans
 Sedentary lifestyle
 Hypertension
 Dyslipidemia
 Family hx- 15% if both parents have T2DM
 Gestational hx
 Age
 Genetics- have strong influence- chromosome arm 7q – insulin resistance

o COMPLICATIONS (all types):
 Microvascular
 Eyes, heart, kidneys, nervous system
 Retinopathy with potential loss of vision
 Nephropathy leading to renal failure

,  Peripheral neuropathy with risk of:
o Foot ulcers
o Amputation
o Charcot’s joint
 Autonomic neuropathy with:
o GI, GU, CV s/sx
o sexual dysfunction may occur.


 Macrovascular
 Atherosclerotic conditions which increases the risk of HTN,
abnormalities in lipid metabolism, abnormalities of platelet function,
and periodontal disease:
o Cardiovascular
o Peripheral vascular
o Cerebrovascular

 Diagnostic Criteria
o Pre-diabetes
 BG too high to be considered normal BUT does not meet criteria for DM
 Impaired glucose tolerance (IGT) or Impaired fasting glucose (IFG)
 IFG 100-125 mg/dL
 IGT 140-199 mg/dL
 HbA1c 5.7% - 6.4%
 At risk for diabetes and CVDs and may have insulin-resistance syndrome

o T1DM and T2DM
 4 tests used:
 Acute symptoms of DM + casual plasma glucose ≥ 200mg/dL
 Fasting plasma glucose (FPG) >126 mg/dL- most reliable
 2-h post-load plasma glucose in an oral glucose tolerance test ≥
200mg/dL
 HbA1c ≥ 6.5%

 Tests should be:
 confirmed on a subsequent day, unless (+) overt clinical s/sx
 preferrable to confirm with the same test OR one that is considered
more predictive
 If a repeated test is below the diagnostic criteria -> REPEAT TEST in 3-
6months.

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

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

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

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 Welch1. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for CA$10.76. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

81113 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
CA$10.76
  • (0)
  Add to cart