Endocrine Flashcards
(65 cards)
A1C goal value for diabetics
under 7
A1c is the average of
3 moths
normal value of A1C
4-6
cortisol increases
glucose
what does insulin do
promote glucose uptake by target cells and glucose storage as glycogen; presents fat and glycogen breakdown, inhibits gluconeogensis, increases protein synthesis
3 P
polyuria
polydipsia
polyphasic
type 1 onset
rapidty
type 2 onset
over time
Lantus duration
20-26 hours
Novolog onset
15 mins
metformin
diarrhea and ct contrast
sick day rules
patients should not stop taking their insulin or oral agent
check blood sugar every 3-4 hours
modify diet to include and check ketones
notify care provider if not tolerating diet or becoming dehydrated
DKA causes
infection, surgery, trauma
inadequate insulin malfunctioning insulin pump, management changes
pregnancy and growth spurts
emotional stress
drugs-steroids and epi norepinephrine
DKA
hyperglycemia, ketosis
metabolic acid
DKA glucose level
> 250
DKA pH
less than 7.3
DKA other issues
dehydration
electrolytes
DKA electrolyte
K
ABG DKA
met acid
- compensation resp ak
when should we change IV to dextrose
BS around 200-250
DKA adminsiter
K
how often glucose
1hr
how often electrolytes
4 hours
first indication of ICP
change in LOC
