Nursing > NCLEX > Mark Klimek Lecture 5: Diabetes – you don’t metabolize your glucose right. Due to lack of insuli (All)
Mark Klimek Lecture 5 January 26, 2020 Diabetes Diabetes – you don’t metabolize your glucose right. Due to lack of insulin or cells become resistant to insulin. Type 1 Diabetes Vs. Type 2 Di... abetes Type 1 o Insulin dependent o Juvenile onset o Ketosis Prone (makes ketones) Type 2 o Non insulin dependent o Adult onset o Non ketosis prone S/s o Polyuria o Polydipsia (increased thirst) o Polyphagia (increased hunger) Treatment Type 1 – insulin, exercise, diet (in order of importance) Type 2 – diet, oral hypoglycemic, activity (obesity reduction) can be treated with diet alone.Diet Restrictions of type 2 diabetics Calorie restrictions 1200-1800 6 small feedings/day Insulin – LOWERS the blood glucose. Regular Insulin (humalin R, anything that ends in R) o Onset – 1 hour o Peak – 2 hours o Duration – 4 hours o Clear (solution) CAN BE IV drip o Short rapid acting insulin (R stands for Rapid and Run) NPH – intermediate acting o Onset – 6 hours o Peak – 8-10 hours o Duration – 12 hours o Cloudy (suspension) o N stands for Not so fast, Not in the bag (IV) Humolog, lispro – the most fastest acting insulin o Onset – 15 minutes o Peak – 30 minutes o Duration – 3 hours o GIVE with meals Lantus, Glargine – long acting insulin, so slow to absorb there is no esstential peak, they will not go hypoglycemic, only one you can give at bedtime o Duration – 12 – 24 hours ALWAYS check the expiration date on all insulins before opening, if you open an insulin it expires 30 days after opening Exercise potentiates (does the same thing) as insulin, if a diabetic is going to play soccer in the afternoon what should the nurse tell him to do? Take a carbohydrate snack to the game. When a diabetic is sick their insulin needs are going to go up, they have increased glucose. Sick diabetic has two problems; hyperglycemia and dehydration. [Show More]
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Mark Klimek Audio Lectures Lecture 10 Maternal health and newborn health: Calculating Due-Dates. Lecture 6 Drug toxicity’s, Dumping Syndrome vs. Hiatal Hernia, Electrolytes Drug Toxicity’s Mark Kli...
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