Jimmy John comes in with a strange fruity smelling odor on his breath, he is
nauseated and vomiting, has shortness of breath, c/o dry mouth, confused,
and has a high urine output, What do you suspect is going on with Jimmy?
What would you do next? - ANS ✓Hyperglycemia
Take BS (^ 100)
What is diverticulitis? - ANS ✓inflammation of the diverticula in the intestines
Type 1 diabetes vs Type 2 diabetes - ANS ✓type 1- born with
type 2- brought on by poor lifestyle choices
What oral medications can you type for type 2 diabetes? - ANS
✓Metformin(glucophage)
Glipzide (Glucotrol)
glucogon(emergency kit)
S/S of DKA - ANS ✓Polydispia, polyuria, polyphagia, fruity breath, kussmaul
breathing
Ketones in urine
Potential complications for individuals with diabetes - ANS ✓- delayed
wound healing
-amputations
Nursing interventions for individuals with diabetes - ANS ✓- Monitor blood
glucose levels
- Diet education
-Exercise education
Kidney stone (nephrolithiasis)- Risk factors - ANS ✓- Immobility
- Obesity
- Family history
- Male
- Hyperparathyroidism
-reoccurring UTI's
Symptoms of kidney stones - ANS ✓severe pain, painful/frequent urination,
nausea, blood in urine
(s/s may vary depending on size of kidney stone/stones)
Potential complications for individuals with kidney stones - ANS ✓- abscess
formation
-infection of kidney
-diminished renal function
- urinary fistula
- ureteral perforation
- extravasation
NUR195
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