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Hondros 176 exam 1|154 Questions with Verified Answers
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Hondros 176 exam 1|154 Questions with Verified Answers
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Hondros 176 exam 1|154 Questionswith Verified Answers
Diabetes type 1 - -juvenile diabetes
insulin dependent
body produces little or no insulin
(Sudden onset, underweight)
3ps
-Diabetes type 2 - -adult onset diabetes,
non-insulin dependent,
body produces insulin but no enough,
is more common, can be controlled by diet.
(Obesity)
-Diabetes Type 1 Treatment - -Must take the right amount of insulin. Too
much insulin will lead to hypoglycemia
-Tests for young diabetes - -Random blood sugar
Fasting blood sugar
Urine test (ketones)
Thyroid, kidney and cholesterol
-Hyperglycemia: 3 Ps - -Polyphagia
Polydipsia
Polyuria
-S/S Hyperglycemia - -- Blood glucose level >250
- thirst
- hunger
- blurry vision
- poor wound healing
-S/S of hypoglycemia - -Tremors/ seizures
diaphoresis
chills
weakness
confusion
-Nursing intervention for hypo/hyperglycemia - -Check blood sugar
-hypoglycemia treatment - -immediate ingestion of 15-20g quick acting
carbohydrates; wait 15 minutes, repeat if needed
, -Hypoglycemia in unconscious patient - -Give glucagon IM
or glucose under tongue
-Dietary teaching - -Meals at same time everyday
Decrease saturated fats
Increase exercise
-Diabetic foot care - --Nailcare: Podiatrist, cut nail straight across.
-Wear Clean Cotton Socks/Closed Shoes
-Do not soak feet
-No powder or lotion between toes
-polyphagia - -excessive hunger
-polydipsia - -excessive thirst
-polyuria - -excessive urination
-Diabetic Ketoacidosis (DKA) - -Shortage of insulin resulting in
hyperglycemia and production of ketones
-Diabetic ketoacidosis (treatment) - -Fluids, insulin, K+
-primary prevention - -Pt education
Diet
Exercise
-Risk factors for diabetes - -overweight (type 2)
poor diet (type 2)
close relative with diabetes
ethnicity
Pregnancy
-Metformin (Glucophage) - -Used with diet and exercise to improve blood
sugar (type 2)
Hold for 48hrs after diagnostic exam
-Metformin side effects - -1. Dizziness
2. Nausea
3. Vomiting
4.Diarrhea
5. Abdominal discomfort
6. Lactic acidosis
-Glucagon - -Used to treat hypoglycemia
Increases blood sugar
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