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Glucose regulation/HHS/DKA
Exam 1
12
Nursing
Undergraduate 4
01/18/2019

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Cards

Term
How to treat mild hypoglycemia
Definition
10-15g of CHO
Retest in 15 min and repeat if needed
Have a small snack with carbs and protein if next meal is more than an hour away
Term
SSX of mild hypoglycemia
Definition
Shaky, irritable, weak, HA, fully conscious, hungry
Term
How to treat moderate hypoglycemia
Definition
15-30g CHO
Retest in 15 min and repeat if glucose is <60
Eat additional food such as low fat milk/cheese after 10-15 min
Term
SSX of moderate hypoglycemia
Definition
cold, clammy skin, pale, rapid pulse, shallow respiration’s, change in mood, drowsiness

Glucose < 40
Term
How to treat severe hypoglycemia
Definition
1 mg glucagon IM/SQ
Give 2nd dose in 10 min if pt still unconscious
Notfy provider
Transport to ED if needed
Small meal when pt wakes and not nauseated.
Term
SSX of severe hypoglycemia
Definition
Unable to swallow, unconsciousness
Term
How to prevent hypoglycemia
Definition
Avoid excess insulin
Weight loss, exercise programs and resolution of an infection may increase sensitivity to insulin and less is needed
Do not change brands without supervision
Maintain food intake, eat at regular intervals
Avoid exercise when insulin is peaking
Term
HHS/DKA bicarb
Definition
HHS: may be high
DKA: Low <18
Term
HHS/DKA glucose
Definition
HHS: >600
DKA: >250
Term
HHS/DKA ph
Definition
DKA: <7.3
HHS: >7.3
Term
Assessment DKA
Definition
Abd pain
Fruit breath
Weakness
Vomiting
Kussmaul respirations
Term
Assessment HHS
Definition
Leg cramps
Hemiparesis
Lethargy
Visual disturbances
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