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Terms in this set (11)
pt unable to eat rx diet
all diabetics should receve 125-250 g of carbs per day. fewer carns reslut in starvation ketosis. Check BG and ketones frequently increase in catabolism because of surgery will remain for some time and additinal insulin may still be needed.
triggers glucagon and epinepherine to increase blood glucose levels by stimulating glucose release from the liver and inhibing insulin secretions.
type 1 diabetes
hae abnormal feedback system. secretions of glucagon become deficient . secretions of epinepthrine becomeimpaired. regulation of insulin absorbtion from SQ fat becomes impaired.
60-100 normal value for child ,2. hypoglycemia caused by disturbances in the balance betweeen insulin or sulfonylurea or carbo activity. S/S are either adrenergic (casued by activation sypathathetic NS, Increased epinepherine). These are mild signs or neuroglycopenic (caused by depression of CNS activity, as the brain percieves an insufficient supply of glucose decreased glucose to the brain).
Shakiness, irritability, nervousness, tachycardia, tremor, hunger, diahphoris, pallor, paresthesias.
heachache, metal illness, sluured speech, blurred vision, confusion, irrational behavior, severer lethargy, loc, coma seizure death.
hypoglycemia-later signs and symptoms
slow thinking, blurred vision, slurred speech, uncoordination, numbness, trouble concentrating, dizziness, fatigue sleepiness.
hypoglycemia-later signs and symptoms continued
symptoms very among patients. hypoglycemia during sleep- only symptoms maybe nighmares, restless sleep, H/A on awakening, or feeling totally exhausted on awakening.
About 1/3 of episoids patient has no S/S of hypoglycemia. Repeated episiods of hypoglycemia blunt hormonal defesne mechanism. When Patient on beta blockers and prednisone, check BG more frequently. pateint should check BG on before activities that require alertness.
Diabetes self management behaviors that increase risk of hypoglycemia
Frequent insulin adjustment. irregular timing of insulin dosages. failure to decrease insulin when eating less. inaccurate preperation of insulin dose. OD of insulin or sulfonyl ureas in psych pts. End stage renal and liver failure.
Causes of hypoglycemia
Skipping meals/Snack, delaying meals/ snacks, irregular.
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