1229 Exam 4 Diabetic Mother Flashcards Preview

nursing 1229 > 1229 Exam 4 Diabetic Mother > Flashcards

Flashcards in 1229 Exam 4 Diabetic Mother Deck (32)
Loading flashcards...
1
Q

Diabetes Mellitus

A

Decreased or zero insulin secretion

2
Q

Gestational Diabetes

A

During Pregnancy
Goes Away after pregnancy
May not reoccur
May have BIG baby.

3
Q

Type One Diabetes

A
no insulin produced
most often before age 15
often called juvenile diabetes
auto immune disorder causes disease
life long disease
4
Q

Type Two Diabetes

A
Insufficient insulin production
ketoacidosis not common
adults after forty most often occur
may be called adult onset diabetes
may need insulin
5
Q

Mature Onset Diabetes of the Young

A

impaired insulin production
ketoacidosis not common
strong family history of type two
same characteristics as type two

6
Q

Complications of insulin

A

hypoglycemia
lipodystrophy
somogyi effect
allergic reaction

7
Q

Poorly controlled Diabetes

A

Diabetic Ketoacidosis (TYPE ONE)
hyperosmolar hyperglycemia
non ketotic coma (TYPE TWO)
fluid and electrolyte imbalance

8
Q

Long term Complications

A
Angiopathy
Peripheral Vascular Disease
Retinopathy
Nephropathy
Neuropathy
Infections
9
Q

Assessment for both Type one and two

A
(THREE P'S)
Polyphagia
polydipsia
polyuria
fatigue
increased UTI's
10
Q

Type One Assessment

A

decreased weight
increased thirst
bed wetting
rapid onset

11
Q

Type Two Assessment

A

increased weight
eye problems
slow onset

12
Q

Treatment

A
Insulin
Oral Hypoglycemics
Diet
decrease insulin need
exercise
decrease glucose fluctuation
13
Q

Diagnostic Test

A

FBG > 126 mg/dl
comfirmed by repeat testing on another day or cusual or random glucose > 200mg/dl plus symptoms or glucose tolerance test > 200 mg/dl

14
Q

Pathophysiology for Diabetes

A

cells within pancreas makes insulin

15
Q

Type One

A

Type one– autoimmune attack pancreas, get energy from breakdown of muslces and fat.glucose is osmo-hyperosmo is vascular space. kidneys get rid of sugar and fluid in hyperglycemia too much potassium loss through cells into urine

16
Q

Type Two

A

usually over weight, lifestyle factors, high fat diet, may or may not remain diagetes.

17
Q

Most common races for GDM

A

hispanic
african american
(Caucasians have lowest rate.)

18
Q

signs of diabetes

A

poly uria- dehydrated
trigger thirst
polydyspnea
polyfasia- increase in fluid and food intake

19
Q

Long term damage

A

damage to small vessels in eyes
nerves in feet
kidney
macro-vascular changes

20
Q

what should the laboring mother’s blood sugar be?

A

60-90

21
Q

What does the A1C need to be?

A

5-6

22
Q

signs of hypoglycemia

A
weak
shaky 
clammy
confusion
cold and clammy need some candy
23
Q

signs of hyperglycemia

A

flushed
warm
level of consciousness may change
nausea

24
Q

GI problem

A

constipation
n/v
dehydration
acid reflux

25
Q

What’s the main concern about Glucagon?

A

Aspiration. **Turn on pt side.

26
Q

Postpartum Care

A

know that giving cows milk to babies too early will make their risk of diabetes go up.
BC pills could change glucose levels

27
Q

weening baby

A

insulin requirements for mother go back up.

28
Q

Test Monitoring

A

monitor mom with non stress test
biophysical profiles
watch for activity of fetus

29
Q

when is blood sugar highest?

A

after you eat

30
Q

Maternal and Fetal risk

A

pre conception counseling
spontaneous abortions
risk assessment for mom-blood sugar control (how long mother has had diabetes makes more of a risk of poor management)
DKA carries 20% mortality rate of the fetus

31
Q

Gestational

A

Occurs later in pregnancy

32
Q

Pregestational

A

had diabetes before pregnancy