EXAM 3 Flashcards
(32 cards)
What is Diabetes insipidus?
deficient production of or response to ADH
Types of diabetes insipidus
Neurogenic DI
Nehrogenic DI
What is neurogenic DI?
defect in synthesis / release of ADH
What is nephrogenic DI?
kidneys do not respond to ADH
patient will present with excessive urination and thirst
Where does diabetes insipidus occur
pituitary gland and kidney
What is the pathophysiology of diabetes insipidus
ADH deficiency
Signs and symptoms of diabetes insipidus
Polydipsia
polyuria
dehydration
Management of diabetes insipidus (NEURO DI)
drugs to stimulate ADH
vasocompression
Watch for SIADH increase
ADH retention (water intoxication)
Management for diabetes insipidus (NEPHRO DI)
drugs to increase sodium excretion
diuretics
antinflammatories
What is type one diabetes
body makes little to no insulin
insulin dependent patients
Where does type one diabetes occur
pancreas
What is the pathophysiology of type one diabetes
insulin not present at all
glucose collects in the blood and cannot enter cells
signs and symptoms of type one diabetes
ketoacidosis increased thirst increased urination weight loss increased appetite fatigue, nausea, vomiting
PT for type one diabetes
exercise 2-3 hours after meal
low moderate intensity
foot management
Whats is type two diabetes
pancreas does not make enough insulin for normal blood glucose
body doesn’t respond to insulin
Where does type two diabetes occur
pancreas
What is the pathophysiology of type two diabetes
insulin present in the cell but the cell is resistant to actions
glucose collects in the blood
Signs and symptoms of type two diabetes
dehydration shock electrolyte loss increased thirst increased urination increased appetite Fatigue BLURRED VISION SLOW HEALING INFECT.
PT for type two diabetes
reduce controllable risk factors: obesity, hypertension, hyperlipidemia
Exercise 2-3hr after meal
low to mod intensity
control blood glucose levels
When is the best time to exercise for patients with DM
2-3hr after a meal
What are the benefits to exercise for a patient with DM 1 and 2
control blood sugar increase insulin sensitivity improve lipids decrease body fat decrease platelet stickiness
What is the normal range for blood glucose levels in management of DM?
100-150 mg/dl
what are the NORMAL ranges for fasting blood glucose?
80- 100 mg/dl
What is the most common glucocorticoid?
cortisol
