Electrolyte me up P. 1 Electrolyte me up P. 2 Don't go breaking my HEART That's a hell of a DRUG diabetes addition What's your type?
100
What is Hyperkalemia
Signs and symptoms of this imbalance include:
o Muscle Weakness
o Dysrhythmias
o ECG changes
 Flattened P wave
 PR prolonged
 *Peak T waves*
 QRS widening
100
What is Hypokalemia
Signs and symptoms of this imbalance include:
o N/V
o Leg cramps! = Muscle weakness
o Decreased BP
o ECG changes-Asystole
o Low ST
o *Flattened or inverted T wave*
o Prominent U waves
100
What is Stable angina
Predictable and consistent pain that occurs on exertion and is relieved by rest and/or nitroglycerin
-Lasts 15 mins.
100
What is Long acting or intermediate acting
Regular insulin is usually taken alone or with this type of insulin
100
What is Exercise
If you have a reading of 250 or greater then you should hold off on this form of non-pharmacological management for diabetes
200
What is HypoCalcemia
Signs and symptoms of this imbalance include:
o Hyperactive DTRs
o Muscle twitching
o Tetany (cramps or spasms)
o Chvostek’s, Trousseau’s signs
o Numbness & tingling
200
What is Hyperkalemia
Treatment of this imbalance include:
o C- calcium gluconate: calcium antagonizes the effects of potassium
o B- bicarbonate: causes an intracellular shift of potassium. Pulls K from ECF to ICF
o D- dextrose: sugar
o I- insulin: pulls potassium back into the cells
o K- kayexalate: pulls potassium out of the body
200
What is MI
Crushing pain unrelieved by rest or nitroglycerin
Radiates to arms (usually LEFT), neck, and back
Lasts >20 minutes
Diaphoresis
Cold, clammy
Low BP
200
What is Glargine
This insulin has no peak
200
What is
o Diabetic retinopathy
o Diabetic nephropathy
o Diabetic neuropathy
3 microvascular complications associated with untreated diabetes
300
What is Hypermagnesemia
Signs and symptoms of this imbalance include:
o Loss of deep tendon reflexes (DTR’s)
o Depression of CNS
o Hypotension/ Shallow Respirations
o ECG changes
o Cardiac arrest
300
What is Hypernatremia
The Cause of this imbalance includes:
o hyperaldosteronism
o Fluid deprivation
o Burns
o insensible water loss
300
What is HTN
Clinical manifestations of this disease are:
“Silent Killer”
Fatigue
Reduced activity tolerance
Dizziness
Palpitations
Angina
Dyspnea
300
What is Sulfonylureas
The patient MUST have functioning pancreatic beta cells in order for treatment to be effective with this category of antidiabetic drug, Which include these drug names;
o Glipizide (Glucotrol)
o Glyburide (DiaBeta)
o Glimepiride (Amaryl)
300
What is Alcohol
Large amounts of this substance can be converted to fats, increasing the risk for DKA, can cause hypoglycemia and may lead to excessive weight gain
400
What is Hypophosphatemia
Signs and symptoms of this imbalance include:
o CNS deterioration
o Paresthesia's
o Muscle weakness
o Seizures
400
What is Hypercalcemia
Signs and symptoms of this imbalance include:
o Hypoactive DTRs
o Thirst/Increased urination
o Muscle weakness
o ECG changes
o Renal Calculi
400
What is PAD
Intermittent Claudication is the hallmark sign of this disease
400
What is Alpha Glucosidase Inhibitors
This category of antidiabetic drugs Slow down absorption of CHOs in small intestine (inhibit carb digestion), Fruit juice is not effective if hypoglycemia occurs because ACARBOSE delays the absorption
400
What is Pancreatic transplant
A type 1 diabetic may need this transplant one day
500
What is Hypomagnesemia
Signs and symptoms of this imbalance include:
o Trousseau & Chvostek sign
o Hyperactive DTR’s
o CNS changes
o ECG changes
500
What is Hyperphosphatemia
Signs and symptoms of this imbalance include:
o EKG changes due to hypocalcemia
o Tetany
o Hyperactive DTRs
o Muscle weakness
500
What is PE
Signs and symptoms include,
Sudden onset of shortness of breath
THEN….
Chest pain
Dyspnea
Anxiety
Fever
Tachycardia
500
What is Sitagliptin
This DRUG blocks (or slows) the inactivation of incretin hormones, which,
• ↑ Insulin release
• ↓ Glucagon secretion
• ↓ Hepatic glucose production
500
What is an insulin pump
-Continuous subcutaneous infusion
-Battery-operated device
-Connected to catheter inserted into sub-Q tissue
-Program basal and bolus doses that can vary throughout the day
-Potential for tight glucose control






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