FORTIS COLLEGE NUR206
EXAM 3 RN PEDIATRICS
EXAM PREPARATION
2023/2024 GRADED A+.
,With Diabetes you have type I and type II
In children you will almost always see type I Diabetes Mellitus (DM)
DM is a chronic disorder of metabolism characterized by hyperglycemia and
insulin resistance.
Clinical Manifestations of Type 1 Diabetes Mellitus
Polyphagia
Polyuria
Polydipsia
Weight loss- children look sick which helps to identify something is wrong
Enuresis or nocturia
HYPERGLYCEMIA
With a deficiency of insulin, glucose is unable to enter the cells and its concentration in
the bloodstream increases. The increased concentration of glucose (hyperglycemia).
Ketonuria in the presence of hyperglycemia is an early sign of ketoacidosis.
Insulin management is key for children with Type I diabetes
However, there is a condition when the blood sugar can go too high which can require
hospitalization
This is DKA- Diabetic Ketoacidosis – Must be treated in and intensive Care
Unit LIFE THREATENING!!!
Signs and symptoms
Drowsiness
Decreased skin turgor
Acetone breath
Hypotension and“Fruity smell”- THIS IS KEY
Bradycardia
Hypoglycemia
Sometimes too much insulin can lower the blood sugar to a dangerous level
As a nurse being able to identify signs of hypoglycemia is very important
Nausea
Vomiting
Jittery/Restless /Shaky
Sweaty (Diaphoresis)
What can you do as a nurse to intervene with Hypoglycemia?
You need to administer a quick source of sugar to raise the glucose level and stop the
symptoms of hypoglycemia
, Give 6 ounces of orange juice
Sugar cubes
Hard candy like a life saver
The Pituitary Gland
The pituitary gland is divided into two lobes
• the anterior (adenohypophysis)
• the posterior (neurohypophysis)
EXAM 3 RN PEDIATRICS
EXAM PREPARATION
2023/2024 GRADED A+.
,With Diabetes you have type I and type II
In children you will almost always see type I Diabetes Mellitus (DM)
DM is a chronic disorder of metabolism characterized by hyperglycemia and
insulin resistance.
Clinical Manifestations of Type 1 Diabetes Mellitus
Polyphagia
Polyuria
Polydipsia
Weight loss- children look sick which helps to identify something is wrong
Enuresis or nocturia
HYPERGLYCEMIA
With a deficiency of insulin, glucose is unable to enter the cells and its concentration in
the bloodstream increases. The increased concentration of glucose (hyperglycemia).
Ketonuria in the presence of hyperglycemia is an early sign of ketoacidosis.
Insulin management is key for children with Type I diabetes
However, there is a condition when the blood sugar can go too high which can require
hospitalization
This is DKA- Diabetic Ketoacidosis – Must be treated in and intensive Care
Unit LIFE THREATENING!!!
Signs and symptoms
Drowsiness
Decreased skin turgor
Acetone breath
Hypotension and“Fruity smell”- THIS IS KEY
Bradycardia
Hypoglycemia
Sometimes too much insulin can lower the blood sugar to a dangerous level
As a nurse being able to identify signs of hypoglycemia is very important
Nausea
Vomiting
Jittery/Restless /Shaky
Sweaty (Diaphoresis)
What can you do as a nurse to intervene with Hypoglycemia?
You need to administer a quick source of sugar to raise the glucose level and stop the
symptoms of hypoglycemia
, Give 6 ounces of orange juice
Sugar cubes
Hard candy like a life saver
The Pituitary Gland
The pituitary gland is divided into two lobes
• the anterior (adenohypophysis)
• the posterior (neurohypophysis)
