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Level 3 > Families Exam 5 - endocrine > Flashcards

Families Exam 5 - endocrine Flashcards

1
Q

What blood glucose level indicates hyperglycemia?

A

> 250

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2
Q

What blood glucose level indicates hypoglycemia?

A

< 60

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3
Q

When are the 3 P’s (polydipsia, polyuria, and polyphagia) seen?

A

hyperglycemia

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4
Q

When is the patient hot/dry vs. cold/clammy?

A
  • H/D: hyperglycemia
  • C/C: hypoglycemia
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5
Q

When is tachycardia, diaphoresis, slurred speech, and blurred vision seen?

A

hypoglycemia

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6
Q

What is given to help with hyperglycemia?

A
  • fluids
  • insulin
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7
Q

What is given to help with hypoglycemia?

A
  • conscious: 15 g carbs
  • unconscious: IV D5 or IM glucagon
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8
Q

How long before exercise should a patient with T1D eat?

A

30 mins

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9
Q

During times of illness, how often should glucose and ketone levels be checked?

A

q 3 h

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10
Q

When should the doctor be called with T1D?

A
  • BG > 240
  • ketones in urine
  • neuro changes (disoriented, confused)
  • rapid breathing
  • uncontrolled vomiting
  • unable to tolerate liquids
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11
Q

What foods should be avoided with T1D?

A
  • high fat
  • high sugar
  • artificial sweeteners
  • skipping meals
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12
Q

How is insulin drawn up?

A

clear to cloudy (regular to NPH)

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13
Q

What blood glucose is considered DKA?

A

> 330

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14
Q

What is present in the urine with DKA?

A
  • ketones
  • glucose
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15
Q

What ABG happens with DKA?

A

metabolic acidosis

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16
Q

What is the first treatment of DKA?

A

rapid isotonic fluid replacement (0.9% NS)

17
Q

When is insulin added to IV fluids with DKA? What should you watch for when this is done?

A
  • when glucose is 250
  • watch for cerebral edema
18
Q

What rate should insulin be given with DKA?

A

0.1 unit/kg/hr

19
Q

What electrolyte should be monitored with DKA? How should it be monitored

A

potassium for hypokalemia on a cardiac monitor

20
Q

How is somatropin given?

A

SQ 6-7 days/week

21
Q

How long is somatropin given?

A

until bone maturation takes place, evidenced by epiphyseal closure

22
Q

How often are x-rays done when receiving somatropin?

A

q 2-3 months

Level 3 (29 decks)

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