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Terms in this set (20)
What is the range for normal blood sugar?
What is basal insulin?
certain amount of insulin you need to just get through the day
What is bolus insulin used for?
Should you hold insulin when a diabetic pt is NPO?
NO (may need to reduce basal insulin)
What is diabetic ketoacidosis?
-VERY high blood glucose level (500+)
**Patient is "hot and dry"
What can raise glucose levels?
stress, trauma, infection, tube feedings, dietary indiscretion, meds
When a patient's blood sugar increases, what happens to their urine output?
If dehydration persists, what can happen?
-decreased tissue perfusion (to all organs)
-increased clotting risk (DVTs)
What causes metabolic acidosis?
presence of ketones in the bloodstream
What are some signs of metabolic acidosis?
What is the main goal for DKA?
How fast do you want a person's blood glucose to drop?
-no mroe than 100 mg per hour
(if too fast could cause hypoglycemia)
Can you push IV K?
What is the fastest you can administer IV potassium?
peripheral :10 meq/hr
central: 20 meq/hr
What is HHNS?
VERY high glucose leveles but NO ketoacidosis
How do you tell the difference between diabetic ketoacidosis and HHNS?
acetone test (positive for DKA)
Why is hypoglycemia so dangerous?
not enough glucose to brain
What symptoms will a patient have with hypoglycemia?
"cold and wet"
-changes in mental status (drunk/silly)
How do you treat hypoglycemia?
Rule of 15 ( 15 grams simple carb and retest BS in 15
-repeat if BS not normal
-full meal in an hour after back to normal
What do you give a pt. in hypoglycemia who is not conscious?
shot of glucagon
THIS SET IS OFTEN IN FOLDERS WITH...
Prep U Exam #1
AH2 Exam #2 PrepU
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