| Inpatient Diabetes Management | The World of Insulin | How sweet it is! | How low can you go... |
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What is the goal for inpatient blood glucose results
140-180
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What is 6-10 minutes?
The half-life of IV insulin
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What is dehydration?
The primary condition aside from high blood sugar in the body in both DKA as well as HHS
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What is not enough carbohydrates, alcohol ingestion, exercise, too much insulin, and kidney failure?
Two things that can precipitate a low blood sugar
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What is less than 70.
According to American Diabetes association this blood sugar result is considered too low
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What is 30-90 minutes?
The peak of rapid-acting insulin such as Novolog administered subcutaneous
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What is fluid resuscitation?
The initial goal in both DKA as well as HHS
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What is give 15 grams quick-acting carbohydrate?
Best method of treating a low blood sugar
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What is 15 minutes?
The time waited before repeating glucometer after treating hypoglycemia.
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What is Glargine (Lantus)?
[or Detemir (Levemir)?]
A basal insulin
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What is 60 minutes?
Your patient's DKA has cleared and after giving the subcutaneous insulin injection, you wait this long before discontinuing the continuous IV insulin infusion.
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What is Glimeperide [Amaryl], Glipizide [Glucotrol], Glyburide [Micronse, Diabetea, Glynase], or Nateglinide [Starlix], Repaglinide [Prandin], and all insulin?
Two of the medications that put a person at risk for hypoglycemia
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What is 180 X 2 consecutive checks or over 250 X 1
A high glucometer result(s) that is called to the physician.
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What is Levemir (or Lantus)?
Considered peakless
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What is Type I?
Sub-type of diabetes in which DKA most frequently occurs
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What is hypoglycemia unawareness?
Low blood sugar but little to none adrenergic response
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When is the attending physician notified about a hypoglycemia event?
Done as soon as possible or before the next dose of insulin is administered.
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What is Protamine-acting?
Novolog 70/30 has 70% of this kind of insulin
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What is education?
Most important way staff nurses can assist in preventing readmission of patients with DKA & HHS
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What is Glucagon 1 mg?
This drug is given IM for hypoglycemia in the patient that is NPO & no IV access
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