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? |
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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 |
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 |
What is Stable angina
Predictable and consistent pain that occurs on exertion and is relieved by rest and/or nitroglycerin
-Lasts 15 mins. |
What is Long acting or intermediate acting
Regular insulin is usually taken alone or with this type of insulin
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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
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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 |
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 |
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 |
What is Glargine
This insulin has no peak
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What is
o Diabetic retinopathy o Diabetic nephropathy o Diabetic neuropathy
3 microvascular complications associated with untreated diabetes
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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 |
What is Hypernatremia
The Cause of this imbalance includes:
o hyperaldosteronism o Fluid deprivation o Burns o insensible water loss |
What is HTN
Clinical manifestations of this disease are:
“Silent Killer” Fatigue Reduced activity tolerance Dizziness Palpitations Angina Dyspnea |
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) |
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
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What is Hypophosphatemia
Signs and symptoms of this imbalance include:
o CNS deterioration o Paresthesia's o Muscle weakness o Seizures |
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 |
What is PAD
Intermittent Claudication is the hallmark sign of this disease
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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
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What is Pancreatic transplant
A type 1 diabetic may need this transplant one day
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What is Hypomagnesemia
Signs and symptoms of this imbalance include:
o Trousseau & Chvostek sign o Hyperactive DTR’s o CNS changes o ECG changes |
What is Hyperphosphatemia
Signs and symptoms of this imbalance include:
o EKG changes due to hypocalcemia o Tetany o Hyperactive DTRs o Muscle weakness |
What is PE
Signs and symptoms include,
Sudden onset of shortness of breath THEN…. Chest pain Dyspnea Anxiety Fever Tachycardia |
What is Sitagliptin
This DRUG blocks (or slows) the inactivation of incretin hormones, which,
• ↑ Insulin release • ↓ Glucagon secretion • ↓ Hepatic glucose production |
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 |