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NSG 170 Test 3 (Metabolism) Review Questions and Correct Answers $9.99   Add to cart

Exam (elaborations)

NSG 170 Test 3 (Metabolism) Review Questions and Correct Answers

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  • Course
  • NSG 170
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  • NSG 170

Insulin Hormone produced by the pancreas that helps to decrease blood sugar. Glucagon A protein hormone secreted by pancreatic endocrine cells that raises blood glucose levels; an antagonistic hormone to insulin. Cortisol stress hormone released by the adrenal cortex that raises blood sugar Eugl...

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  • September 16, 2024
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  • Exam (elaborations)
  • Questions & answers
  • NSG 170
  • NSG 170
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NSG 170 Test 3 (Metabolism) Review
Questions and Correct Answers
Insulin ✅Hormone produced by the pancreas that helps to decrease blood sugar.

Glucagon ✅A protein hormone secreted by pancreatic endocrine cells that raises
blood glucose levels; an antagonistic hormone to insulin.

Cortisol ✅stress hormone released by the adrenal cortex that raises blood sugar

Euglycemia (normal) ✅70-140 mg/dL

Hypoglycemia defined as ✅state of insufficient glucose level

Hypoglycemia ✅<70 mg/dL
<50 mg/dL (severe)

Causes of hypoglycemia ✅-insufficient nutritional intake
-adverse reaction to medication
-Excessive exercise

Hypoglycemia S/S ✅reduced cognition, tremors, diaphoresis, weakness, hunger,
headache, irritability, seizure, cool/clammy skin, blurred vision, tachycardia

Treatment of hypoglycemia ✅- If patient blood sugar is <60, patient is alert and
oriented and asymptomatic, offer 15 g of protein by mouth.
- If patient is symptomatic, not completely alert, call provider. Order may include:
- Glucagon given IM
- Dextrose injection IV Push (very hard to push)
- Oral medication may cause GI upset, which may go away with time

Proteins and carbohydrates ✅given together for hypoglycemia

Hyperglycemia ✅Not fasting: >140 mg/dL
Fasting: >100 mg/dL
>180 mg/dL (severe)

Hyperglycemia defined as ✅state of elevated blood glucose level

Causes of hyperglycemia ✅-Insufficient insulin production/secretion
-Deficient hormone signaling
-Excessive counterregulatory hormone secretion

, Hyperglycemia S/S ✅Polyuria, Polydipsia, polyphagia, dehydration, fatigue, fruit odor
to breath, Kussmaul breathing, weight loss, hunger, poor wound healing, vomiting,
nausea, abdominal pain, warm moist skin

Polyuria ✅increased urination

Polyphagia ✅increased hunger

Polydipsia ✅increased thirst

Short-term hyperglycemia consequences ✅Inadequate glucose reaches cells for
energy, dehydration

Long-term macrovascular consequences of hyperglycemia ✅retinopathy, nephropathy,
peripheral neuropathy, erectile dysfunction

Long-term microvascular consequences of hyperglycemia ✅Hypertension,
cardiovascular and peripheral vascular disease

Treatment of hyperglycemia ✅insulin and fluids

Risk factors for diabetes ✅pregnant women, infants, older adults, racial/ethnic groups,
genetics (family hx.), lifestyle, chronic conditions, medications

Fasting plasma glucose testing (FPG) *finger stick ✅-A diagnosis of DM is made with
two separate test results greater than 126 mg/dL
-The patient should have no caloric intake for at least 8 hours (water is permitted)

Random (casual) blood glucose *finger stick ✅-greater than 200 mg/dL is used to
diagnose DM in patients with classic hyperglycemia symptoms or hyperglycemic crisis.

Oral glucose tolerance test (OGTT) ✅- 8 oz. of sweet liquid containing 75 g of sugar
- after 2 hours they draw 1 vial of blood
- <140 mg/dL ( not diabetic)
- 140-199 (pre-diabetic)
- >200 (diabetic)
- also used for pregnant women 24-28 weeks (if greater than 140 mg/dL you have to do
the gestational GTT)

Gestational glucose tolerance test ✅- 3 hour test
- 8 oz of 100 g of sugar
- They draw blood before test and every hour
- Fasting before: <95

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