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Diabetes
For Exam 3
28
Nursing
Professional
03/04/2012

Additional Nursing Flashcards

 


 

Cards

Term
Warning signs of DKA
Definition
kussmaul resp.
fruity order on breathe
fatigue
polyuria
polydyspia
nausea &v
dehydration
Term
Before giving IV potassium
Definition
check that the patient produces at least 30 ml/hr
Term
HHNS
Definition
blood glucose exceeds 600 mg/dl
Term
When should urine be tested for ketones?
Definition
When the BS is greater than 240 mg/dl
Term
CALL PROVIDER IF
Definition
*glucose remains elevated after 2 supplemental doses of insulin
* large amount of ketones in the urine
* persistent nausea and vomiting
* fever greater than 101.5 or lasting longer than 24 hours
Term
How soon before exercise should you eat a meal?
Definition
1-3 hours
Term
How soon should a snack be had before exercise to prevent post exercise hypoglycemia
Definition
15-30 CHO
Term
When does late onset hypoglycemia occur?
Definition
6-28 hours after excercs
Term
At what age should screening begin at and how often should the screen be repeated?
Definition
45, every 3 years if normal
Term
Abdominal Obesity
Definition
40 inches for men
35 inches for woemn
Term
More frequent screening
Definition
BMI greater than or equal to 27 or greater than 120% of desirable body weight
Term
Desired
Definition
less than or equal to 5.7%
Term
Pre-diabetes
Definition
between 5.7% - 6.4%
Term
Diabetes
Definition
6.5% or higher
Term
OGTT
Definition
greater than 200 mg/dl
Term
Casual blood glucose concentration
Definition
finger stick greater than 200 mg/dl
Term
Fasting plasma glucose greater than 126 on two occasions
Definition
indicates diabetes
Term
Inflammatory Phase "Lag Phase"
Definition
Begins at time of injury or cell death, lasts 3 to 5 days

After 10 min, leakage of plasma and plasma proteins into the surrounding tissue occurs

Migration of WBCs into wound

Clinical manifestations of local edema, pain, erythema, and warmth
Term
Fibroblastic Phase "Connective Tissue Repair"
Definition
Begins about the 4th day after injury and lasts 2 to 4 weeks

Fibrin strands form a scaffold or framework

Capillary buds and collagen deposits form granulation tissue in the wound and the wound contracts

Epithelial cells grow over the granulation tissue bed
Term
Maturation Phase "Remodeling"
Definition
Begins as early as 3 weeks after injury and may continue for a year

Collagen is reorganized to provide greater tensile strength

Scar tissye gradually becomes thinner and paler in color

The mature scar is firm and inelastic when palpated
Term
Re-epithelization
Definition
the production of new skin cells by undamaged epidermal cells in the basal layer of the dermis and the linings around the hair follicles and sweat glands (partial thickness wounds 5-7 days)
Term
Granulation
Definition
scar tissue apart of the proliferative phase of healing (full thickness damage extends into lower layer of dermis)
Term
Contranction
Definition
pulls the edges inward along the path of least resistance
Term
Stage 1
Definition
Skin intact
Non blanching redness
Term
Stage 2
Definition
Skin not intact
Partial thickness skin loss
Ulcer is suferficial and may be characterized as an abrasion, a blister, or shallow crater
No brusiing
Term
Stage 3
Definition
Skin loss is full thickess
Sub q tissues may be damaged or necrotic
Damage extends down to but not thorugh the underlying fascia, bone, tendon, or muscle are not exposed
Term
Stage 4
Definition
Skin loss is full thickness with eposed or palpable muslce, tendon, bone
Often includes undermining and tunneling
Sinus tracts may develop
Slough and eschar are often present on at lesast part of the wound
Term
Unstageable
Definition
Skin loss is full thickness and the base is ciompletely covered with slough or eschar obscruing the ture depth of the wound
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