Unit 3 MN650 Exam With Complete Solution Calculate Total Daily Insulin (TDI) Dose - Answer Starts with 0.2 to 0.4 units/kg of body weight Proper Administration of Split TDI Dose - Answer Give two-thirds in the AM and one-third in the PM. Applies to T1 & T2 DM Lab Function to Check Before Prescribing Metformin - Answer Ren al function Danger of A1c > 9 - Answer Yes Initiating Insulin Augmentation Criteria - Answer Symptomatic Hyp erglycemia or HgbA1C >9% despite non-Insulin therapy AND One or two oral Oral Hypoglyce mic agents OR GLP-1 Agonist and at least one Oral Hypoglycemic agent Poor Response to Sulfonylureas Indicates Poor Response to - Answer Big uanides Standard Insulin Formula - Answer 0.6 to 1.0 When to Hold Metformin - Answer 24-48 hours prior to CT with c ontrast Insulin Treatment Results - Answer Aim for 50% of BGs within goal ran ge. HgbA1C goal = <7% Goals of Blood Glucose Levels - Answer Pre-meal BG 70-120 mg/dl, Post-pran dial BG <160 mg/dl, Bed-time BG 100-140 mg/dl How to Adjust Insulin? - Answer Avoid large changes in insulin therapy t o prevent harm. Adjust dosing based on activity level, dietary intake, weight, and insulin response. Determining Specific Insulin Needs - Answer Keep a journal of events dur ing high or low blood sugar to determine specific insulin needs. Tests for DKA - Answer Labs: K+, anion gap, glucose. Test for ket ones. Treating Severe Hypoglycemia - Answer Administer Dextrose 50 % if unable to take orally. DAN Acronym Meaning - Answer Diabetic autonomic neuropathy (DAN) i s a common complication of diabetes. Symptoms include tachycardia, exerc ise intolerance, and orthostatic hypotension. Maintaining Renal Function - Answer Patient education is cru cial to explain how to maintain adequate renal function. HPA Dysfunction Lab Features - Answer Low cortisol, low ACTH.
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