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NR 601 FINAL EXAM SOLUTIONS

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NR 601 FINAL EXAM SOLUTIONS

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  • June 22, 2024
  • 13
  • 2023/2024
  • Exam (elaborations)
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NR 601 FINAL EXAM SOLUTIONS

Type 1 diabetes acute presentation - ANS-DKA (30% of people will present)

Type 2 diabetes acute presentation - ANS-HHNS

DKA - ANS-acetone and keytones increase! once treated expect postassium to
drop! have K+ ready

Type 1 & 2 diabetes subacute presentation - ANS-Fatigue, thirst, urination, weight loss
Most common in type 1
In type 2, it will be more vague symptoms and fatigue

Most common way type two diabetes is diagnosed - ANS-Screening at risk individuals

Diabetes Mellitus - ANS-insulin is not secreted adequately or tissues are resistant to its
effects

Prediabetes Hgb A1C - ANS-5.7-6.4%

Prediabetes 2 hour gtt - ANS-140-199

Prediabetes fasting - ANS-00-125

Diabetes Random - ANS->=200

Diabetes Fasting - ANS->=126

Diabetes 2hr gtt - ANS->=200

Type 1 diabetes - ANS-immune system attacks the beta cells in the pancreas to prohibit
them from releasing insulin
AUTOIMMUNE DISORDER
Usually presents in childhood
Genetic and environmental trigger
Insulin Deficiency

, Type 2 diabetes - ANS-usually presents in adults with HTN and obesity
Cells in the body do not react to the insulin
Genetic Predisposition
Insulin Resistance/Relative insulin deficiency

Medications that cause diabetes - ANS-Glucocoriticoids
(Given in asthma and Crohn's Disease

dysuria - ANS-subjective experience of painful or burnign on urination

Dysuria Cause - ANS-inflammation
bladder/urethral infection
most common cause is lower UTI

Medications that can cause dysuria - ANS-SSRI
opiates
Scopalamine

Less common causes of dysuris - ANS-Tumors
Renal Failure
Nephrolithiasis
STIs

Heamuturia Diagnostically - ANS-3 RBCs or more per high powered field

Transient Hematuria - ANS-Occurs on one occasion

Persistent - ANS-occurs on two or more occosion

Substances that can mock hematuria - ANS-Beets

Substances that can be related to hematuria - ANS-caffeine, spices, tomatoes,
chocolate, alcholol, citurs, soy sauce

medications that cause hematuria - ANS-Beta-lactam antibiotics,
sulfonamides, NSAIDs, Cipro, allopurinol, tagamet, dilantin

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