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peds unit 8 ENDOCRINE and HEENT
Acquired Endocrine Disorders
11
Nursing
Undergraduate 1
04/29/2011

Additional Nursing Flashcards

 


 

Cards

Term

Most common typeof Acquired Endocrine Disorder  in children

Definition

Diabetes:  Type I

Term

Diabetes:  Type I

 

deff

Definition

lDestruction of 90% or > insulin secreting beta cells in pancreas.

lAbsence of insulin

¡Body unable to metabolize glucose

¡Too many unused carbohydrates in bloodstream -(80-100 mg/dl)

 


Term

 

Glucose > ___ -spills into urine

 

Definition
160mg/dl-
Term

Diabetes:  Signs & Symptoms

Definition

l3 P’s:  Polyuria, polydipsia, polyphagia

¡Enuresis in a previously potty trained child

¡Extreme thirst and hunger

¡Abdominal pain, headache

lSymptoms ↑ & worsen over 1-3 wks

lKetoacidosis may develop

¡Fruity odor to breath

¡Deep, rapid breathing (Kussmaul respirations)

¡ARF, severe dehydration

¡Coma, Death

Term

Diabetes: 

Diagnosis

Definition

l8 ° fasting blood glucose - > than 126 mg/dl

lCasual blood glucose > 200 mg/dl

Term

Diabetes: 

Treatment

Goals

Definition

Manage bl. glucose & prevent long-term complications

Minimize events of hyper/hypoglycemia

Term

Diabetes: 

Treatment

Definition

Insulin replacement therapy

Diet

Exercise

Education

Term

Pediatric Diabetes Treatment

Child admitted to hospital

Definition

¡Glucose brought into normal range

¡Extensive teaching process with involvement - multidisciplinary team, patient, & parents

¡Child/family taught carbohydrate management, insulin therapy, & glucose testing.

Term

Pediatric Type II Diabetes

onset-

Definition

usually in teen years

More common in obese children

Overweight children, sedentary lifestyle

Term

Pediatric Type II Diabetes

 

deff

Definition

Disease of insulin resistance

Hyperinsulinemia - response to ↑ glucose resistance

Beta cells begin to fail as resistance continues

Term

 

Pediatric Type II Diabetes

Treatment

 

Definition

 

lOral medications

¡Sulfonylureas & meglitinides: ↑ insulin in pancreas

¡Biguanides: ↓prod. & release of glucose by liver

lDietary management

lWeight loss

lExercise plan

 

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