NUR 325 Test 1
- Euglycemia
Answer normal blood glucose level 70-140 mg/dL
- Hyperglycemia
- P's
Answer High blood glucose >140 mg/dL (severe > 180 mg/dL) FSB more than 100 mg/dL CM
Polyuria (excessive urination), Polydipsia (excessice thirst), Polyphagia (excessive hunger), poor wound healing, fruity odor, fatigue, dehydration, kussmaul breathing Occurs due to
insufficient insulin production or secretion, excessive counter-regu- latory hormone secretion, deficient hormone signaling
- Wound healing
Answer Hyperglycemia impairs wound healing by interfering with the function of immune cells, reducing collagen production and impairing angiogenesis
- Hypoglycemia
Answer Low blood glucose <70 mg/dL (severe <50 mg/dL) cold and clammy give them candy
CM
cool, clammy, sweating, anxious, weakness, dizziness, tremors, reduced cog- nition, diaphoresis, 1 / 2
hunger, headache, irritability, seizure, nervousness, death
Due to
insufficient nutritional intake, adverse reaction to medications, excessive exercise, often a combination of factors
- Interventions for hypoglycemia
Answer 15 gram carbohydrates
-1/2 cup regular soda or juice -1 cup milk -1/2 ampule of dextrose -50% (D50) -1 mg of glucagon -3-4 glucose tablets -1 tablespoon honey -4-6 pieces hard candy -15 jelly beans
- during a hypoglycemic episode, which hormone is released to increase blood glucose levels
Answer glucagon to increase blood glucose, this stimulates glycogenolysis and gluconeogenesis
- type I diabetes
Answer insulin is responsible to regulate glucose levels but in clients with type I their pancreas fails to produce insulin in which causing hyperglycemia
- Risk for impaired glucose regulation
- / 2
Answer age, pregnancy, racial and ethnic groups, genetics, lifestyle, family history, selected medications