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NUR-402 Pediatric Nursing Exam 3 Guaranteed Success

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NUR-402 Pediatric Nursing Exam 3 Guaranteed Success Diabetes mellitus ️insulin is not secreted adequately or tissues are resistant to its effects Diabetes Type I ️· Most common in adolescents but may occur in adulthood · Characterized by the destruction of pancreatic beta cells -> th...

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  • October 10, 2024
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  • 2024/2025
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NUR-402 Pediatric Nursing Exam 3 Guaranteed Success

Diabetes mellitus ✔️insulin is not secreted adequately or tissues are resistant to its effects



Diabetes Type I ✔️· Most common in adolescents but may occur in adulthood

· Characterized by the destruction of pancreatic beta cells -> the pancreas produces little to no insulin



Diabetes Type II ✔️The body fails to use insulin properly combined with insulin insufficiency



Diabetes risk factors ✔️Genetic predisposition, toxins, viruses, obesity, sedentary lifestyle, high
triglycerides (x > 250), and hypertension



Diabetes (hypoglycemia) expected findings ✔️(glucose: x<60), hunger, lightheadedness, shakiness,
headache, anxiety, irritability, pallor, cool skin, diaphoresis, irritability, shallow (Kussmaul) respirations,
tachycardia, palpitations, unusual feelings, decreased LOC, decreased ability to concentrate, emotional
lability, slurred speech, headache, blurred vision, seizures -> coma



Diabetes (hyperglycemia) expected findings ✔️(glucose: x>250), thirst, polyuria (early), oliguria (late),
nausea, vomiting, abdominal pain, skin that is warm, dry, and flushed, dry mucous membranes,
confusion, weakness, lethargy, weakened pulse, diminished reflexes, Kussmaul respirations, recurrent
vaginal yeast



Diabetes testing ✔️·Eight-hour fasting blood glucose: x > 126

·Random/casual blood glucose: x > 200

·Oral glucose tolerance test x > 200



Fasting blood glucose ✔️Ensure the child has fasted for at least eight hours prior to test and withhold
anti-diabetic medications until after the level is drawn

, Oral glucose tolerance ✔️Consume a balanced diet three days prior to test, fast eight hours prior to
test

Child will consume a specified amount of glucose

Blood glucose tested q 30 mins for 2 hours

Assess for hypoglycemia



HbA1c ✔️Expected range: 4-5.9%

Children less than six years old : 7.5-8.5%

Children ages six to 12: x < 8%

Children ages 12 to adulthood: x < 7.5%



Diabetes diagnostic procedure ✔️Self-monitored blood glucose

Monitor before meals and before bed



Rapid acting insulin ✔️Lispro

Onset: 15-30 mins

Peak: 30 mins to 3 hours

Duration: 3-5 hours



Short acting insulin ✔️Regular

Onset: 30 mins to 1 hour

Peak: 1-5 hours

Duration: 6-10 hours



Intermediate-acting insulin ✔️NPH

Onset: 1-2 hours

Peak: 4-14 hours

Duration: 14-24 hours

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