ch 22 diabetic emergencies and ams

Question 1

ras stands for

Answer 1

reticular activating system

Question 2

brain tissue in the RAS requires

Answer 2

oxygen glucose and water

Question 3

aeioutips

Answer 3

alcohol
epilepsy/endocrine
isulin
overdose/oxygen
uremia
trauma
infection
psychiatic
stoke/shock

Question 4

what is hypoperfusion

Answer 4

inadequate blood flow to tissues or organs

Question 5

elements of glasgow coma scale

Answer 5

eyes speech motor

Question 6

glucose cannot pas into cell without

Answer 6

insulin

Question 7

when does pancreas secrete insulin

Answer 7

bgl exceeds 90

Question 8

insulin

Answer 8

binds to receptors sites on cells and allows glucose molecules to pass through

Question 9

produce insulin

Answer 9

islets of Langerhans

Question 10

type 1

Answer 10

pancreatic cells don’t function normally, too little insulin, synthetic insulin prescribed

Question 11

type 2

Answer 11

body’s cells don’t use insulin properly

Question 12

hypoglycemia symptoms

Answer 12

drunken demeanor
pale, sweaty skin
tachycardia
breathing rapid
seizures

Question 13

hyperglycemia symptoms

Answer 13

chronic thirst/hunger
increased urination
nausea
dehydration

Question 14

what is dka

Answer 14

diabetic ketoacidosis, waste build up combined by dehydration

Question 15

signs of dka

Answer 15

ams
shock
rapid breathing
acetone mouth odor

Question 16

signs of a diabetic emergency

Answer 16

rapid onset of ams
intoxicated appearance
cold clammy skin
elevated hr
hunger
anxiety
seizures

Question 17

bgl for hypoglycemia

Answer 17

<60

Question 18

bgl for significant ams

Answer 18

<50

Question 19

bgl for hyperglycemia

Answer 19

> 140

Question 20

bgl for serious hyperglycemia

Answer 20

> 300

Question 21

reading of HI on bgl monitor

Answer 21

> 500

Question 22

reading of LOW on bgl monitor

Answer 22

<15

Question 23

which is sudden onset? hypo or hyperglycemia

Answer 23

hypo

Question 24

skin hyperglycemia

Answer 24

warm red dry

Question 25

skin hypoglycemia

Answer 25

cold, clammy

Question 26

irregular brain activity can bring about _____

Answer 26

seizures

Question 27

tonic phase

Answer 27

body is rigid (up to 30 secs) breathing could stop loss of bladder/bowel control

Question 28

clonic phase

Answer 28

body jerks (1-2 mins) foam at the mouth cyanosis

Question 29

postictal phase

Answer 29

consciousness regained

Question 30

common cause of seizures in children and infants

Answer 30

high fever

Question 31

causes of seizures

Answer 31

toxins hypoglycemia tumor congenital brain defects infection epilepsy measles and mumps eclampsia heat stroke syncope head injury

Question 32

status epilecpticus

Answer 32

2+ convulsive seizures in a row or a seizure that lasts more than 10 mins

Question 33

simple partial seizure

Answer 33

tingling stiffening and jerking of 1 body part

Question 34

complex partial seizure

Answer 34

confusion glassy stare may appear drunk aura no memory of episode conscious

Question 35

absent seizure

Answer 35

10 second loss of awareness, no motor activity

Question 36

ischemic stroke

Answer 36

caused by blockage that occurs due to a clot or embolism

Question 37

hemorrhagic stoke

Answer 37

ruptured blood vessel in the brain

Question 38

hemorrhagic stroke is often a result of

Answer 38

long standing high bp

Question 39

aphasia

Answer 39

general term for difficulty in communicating

Question 40

expressive aphasia

Answer 40

knows what to say but cant find the words

Question 41

receptive aphasia

Answer 41

cannot understand you

Question 42

transient Ischemia attack

Answer 42

stoke symptoms that resolve in 24 hours

Question 43

cause of TIA

Answer 43

small clots temporarily block circulation to part of the brain