Diabetes Mellitus Flashcards Preview

NUR 152 Final Exam > Diabetes Mellitus > Flashcards

Flashcards in Diabetes Mellitus Deck (20)
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1

S/SX of DM I

fatigue
weight loss
sudden onset
polyuria
polydipsia
polyphagia
frequent infections

2

S/SX of DM II

fatigue
recurrent infections
obese
hx of HTN
polydipsia
polyuria
FBS >126

3

Metabolic syndrome

abdominal obesity
hyperglycemia fasting >100
HTN
hyperlipidemia

4

S/SX of hypoglycemia

T- tachycardia
I- Irritability
R- Restless
E- Excessive hunger
D- Diaphoresis
cold, clammy

5

S/SX of hyperglycemia

hot and dry
polyphagia
polydipsia
polyuria
headache
N/V
blurred vision

6

diabetic diet

130 g/day of carbs
25-30 g/day of fiber
15%-20% of calories protein
limit saturated fat to less than 7%
cholesterol < 200/day

7

exercise

30 min/day 5days/week
moderate aerobic exercise
exercise 1hr pc
check BG before exercise
small carb snacks every 30 minutes
carry fast acting carbs

8

Rapid insulin onset, peak, duration

Onset: 10 min
Peak: 1 hr
Duration: 3 hrs
"10 minutes felt like 1 hour during 3 rapid responses"

9

Short acting insulin onset, peak, duration

Onset: 30 min
Peak: 2 hrs
Duration: 8 hrs
"Short staffed nurses went from 30 patients to (2) 8 patients"

10

Intermediate insulin onset, peak, duration

Onset: 2 hrs
Peak: 8 hrs
Duration: 16 hrs
"Nurses play heroes to (2) eight 16yo"

11

Long acting insulin onset, peak, duration

Onset: 2 hrs
no peak
Duration: 24 hrs

12

types of rapid insulin

Humalog
Novolog

13

types of short insulin

regular insulin
Humulin R
Novolin R

14

types of intermediate insulin

NPH
Humulin N
Novolin N

15

types of long insulin

Lantus
levemir

16

gliburide and glipizide

increase insulin production

17

Metformin
glucophage

decreases glucose production
may cause lactic acidosis
don't use within 48hrs of contrast test

18

pioglitazone (Actos)
rosiglitazone (Avandia)

best for insulin resistance
increase insulin sensitivity, transport, usage

19

sitagliptin (Januvia)

increases insulin release
decrease glucagon secretion
decrease glucose production

20

diagnostics for DM

A1C >6.5
FPG>126
2 hr glucose >200
random plasma glucose >200