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Diabetes Typ1

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mattisensept's version from 2017-06-04 00:47

Section

Question Answer
Normal Produced by the beta cells in the ilset of langerhorns, promotes glucose transportation across the cell membrane
Abnormal Caused y destruction of the B cells, insulin not produced, rapid onset, 3 Ps, rapid weight loss
Diagnostic testing A1C >6.5, fasting plasma glucose >126, two hour plasma glucose >200
Random blood glucose >200 w/ 3 Ps
Important meds Insulin, rapid, short, intermediate, long
Nursing interventions Assessment, health promotion, insulin therapy, prevent complications, patient eduation
Patient teaching Self monitoring, exercise regimen, diet regimen, prevent hypo and hyper glycemia
Carb counting Reading labels, time consuming, 15 g of carb=1 serving of carb. Client should have 1-2 servings for a snack. 2-3 servings for a meal
Exercise and health management Exercise effects the BG level, typically lowers it, may need a snack before, talk to the patient about sick days
Administering insulin Arms, abdomen, upper thigh
Preventing acute complications Hypoglycemia, Hyperglycemia (Diabetic ketoacidosis, coma, death)
Preventing long term complications Opathys & infection, angiopathy, retinopathy, nephropathy, neurpathy, infection
Diabetic ketoacidosis Symptoms Headache, sleepy, confusion, loss of consciousness, coma, seizures, weakness, diarrhea, SOH, coughing, Arrythmia, increased HR, N/V
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