lecture 5 diabetes etc

Question 1

diabetes insipidus affects what

Answer 1

fluids

Question 2

will a pt with diabetes insipidus have a problem w their glucose

Answer 2

no (diabetes darth sidious because aint shit sweet)

Question 3

is diabetes insipidus a type of diabetes (darth sidius)

Answer 3

no it doesnt affect glucose and aint shit sweet w darth sidius

Question 4

diabetes insipididus is diabtes w/o glucose bcause it has

Answer 4

polydipsia and polyuria

Question 5

what does diabetes insipidus cause due to polyuria and polydipsia

Answer 5

dehydration

Question 6

what does dehydration in diabetes insipidus cause

Answer 6

low ADH

Question 7

what is the oppisite of diabetes insipidus

Answer 7

SIADH

Question 8

pt with DM and diabetes insipidus would have what kind of urine output

Answer 8

high urine output (diabetics and darth sidius are pissed alot)

Question 9

why is SIADH opposite of diabetes insipidus

Answer 9

SIADH pts arent thirsty and dont pee alot (oliguria and no thirst)

Question 10

who is darth sidius biggest opp cause theyre opposites

Answer 10

SIADH

Question 11

a pt with SIADH would have what kind of urine output

Answer 11

decreased

Question 12

how will serum specific gravity be in a pt with SIADH

Answer 12

low because they retain water

Question 13

how will urine specific gravity be in pt w SIADH

Answer 13

increased because they have more urine

Question 14

if pt has fluid volume deficit is it DM, DI or SIADH

Answer 14

DM and DI

Question 15

darth insipidus is the same as what without glucose

Answer 15

diabetes

Question 16

fluid volume excess would be which: DM, DI or SIADH

Answer 16

SIADH

Question 17

treatment for type I DM (DIE)

Answer 17

Diet
insulin
exercise

Question 18

which is the most important treatment for type I DM

Answer 18

insulin

Question 19

which is the least important treatment for type I DM

Answer 19

diet (calories from carbs)

Question 20

treatment for type II DM (DOA)

Answer 20

diet
oral hypoglycemic
activity

Question 21

what is the most important treatment for type II DM pt

Answer 21

diet

Question 22

what kind and how often should type 2 DM pts eat

Answer 22

6 small frequent meals

Question 23

why do diabetics need small frequent meals

Answer 23

keep their glucose stable

Question 24

what is the most improtant treatment for type 2 DM

Answer 24

calorie restriction

Question 25

what is more important type 2 dm? calorie restriction or dividing meals into 6 feedings a day

Answer 25

calorie restriction

Question 26

what color is regular insulin

Answer 26

clear

Question 27

can u give lispro with a meal

Answer 27

no

Question 28

when should u give lispro

Answer 28

with a meal

Question 29

when does lispro start working

Answer 29

15 mins

Question 30

when does lispro peak

Answer 30

30 mins

Question 31

how long does lispro last

Answer 31

3 hrs

Question 32

what is the pattern for lispro

Answer 32

15-30-3

Question 33

15-30-3

Answer 33

lispro

Question 34

when does regular insulin start working

Answer 34

1 hour

Question 35

when does regulr insulin peak

Answer 35

2 hrs

Question 36

how long does regular insulin last

Answer 36

4 hrs

Question 37

what is the pattern for regular insulin

Answer 37

1-2-4

Question 38

1-2-4 is the pattern for what insulin

Answer 38

regular

Question 39

what color is NPH insulin

Answer 39

cloudy

Question 40

when does NPH start working

Answer 40

6 hrs

Question 41

when does NPH peak

Answer 41

8-10 hrs

Question 42

how long does NPH last

Answer 42

12 hrs

Question 43

what is the pattern for NPH

Answer 43

6-8-10-12

Question 44

how to find peak of insulin when given time

Answer 44

add peak time to what time u gave insulin

Question 45

when does glargine peak

Answer 45

never

Question 46

how long does glargine last

Answer 46

12-24 hrs

Question 47

which type of insulin can u safely give at bedtiime

Answer 47

glargine (long acting)

Question 48

when should u give glargine insulin

Answer 48

at bedtime

Question 49

what should u always check before giving insulin

Answer 49

expiration date

Question 50

how many days is insulin good for after opening it

Answer 50

30 days

Question 51

what should u do w open insulin without an expiration date

Answer 51

throw it out

Question 52

do u have to refrigerate insulin after its opened

Answer 52

no

Question 53

when should u refrigerate insulin

Answer 53

when its unopened

Question 54

when should u decrease insulin dosage

Answer 54

before exercisew

Question 55

what should u do with insulin before exercise

Answer 55

decrease dose

Question 56

what should u give pt before exercise who is on insulin

Answer 56

rapidly metabolized carbs

Question 57

what happens to glucose lvls if dm pt is sick

Answer 57

it goes up

Question 58

what are the 2 problems sick diabetics have

Answer 58

hyperglycemia and dehydration

Question 59

what is DKA

Answer 59

high glucose in a type I DM pt

Question 60

what causes DKA

Answer 60

too much food not enough insulin not enough exercisse acute upper resp infection in the past 2 weeks

Question 61

acute viral upper resp infection in past 2 weeks can cause what in DM pts

Answer 61

DKA (high glucose)

Question 62

DKA signs and symptoms (DKA is acronym for symptoms)

Answer 62

-Dehydration -Ketones in blood, kussmauls and high K+ -Acidosis, acetone breath, anorexia due to nausea

Question 63

how to treat DKA

Answer 63

regular insulin (IV insulin) IV fluids 200mL/hr

Question 64

HHNK is caused by what and affects what kind of DM

Answer 64

high glucose in. type 2 dm pt severe dehydration

Question 65

will a pt w hhnk have a fluid volume deficit or excess

Answer 65

deficit (dehydration)

Question 66

what are u trying to do for a pt with hhnk

Answer 66

rehydrate them

Question 67

what chronic conditions can HHNK cause

Answer 67

poor perfusion peripheral neuropathy

Question 68

which relies more on insulin DKA or HHNK

Answer 68

DKA

Question 69

which disease priority is rehydration? DKA or HHNK

Answer 69

HHNK

Question 70

which disease is a higher priority DKA or HHNK

Answer 70

DKA