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NUR 152 3

Hypoglycemia Signs & Symptoms
Irritable
Restless
Excessive Hunger
Diaphoresis
Depression
Treatment of hypoglycemia
Cold and clammy give them candy
Check BG
Administer 15-20 fast acting carbs
Recheck 15 min
Repeat PRN
Do not treat with too much sugar Hyperglycemia
If pt on Beta Blocker check more often for hypoglycemia
Hyperglycemia Signs and symptoms
Polyuria
Polydipsia
Polyphagia
Blurred Vision
Fatigue
Lethargy
Headache
Abdominal pain
Ketonuria
Coma
Seizure
Treatment of hyperglycemia
Chech BG
Use sliding scale
Check urine for Ketones
Determine and treat the cause
BG greater than 180 for days call PCP
Call PCP if ill or vomiting
What is DKA insulin deficiency cells w/o glucose fat is broken down into ketones, ketones are acidic leading to ketoacidosis. The body blows off CO2 which is Kussmul's respirations Fruit loop breath
True
False
Treatment of DKA
IV Fluids
Check BG
When BG is 180mg add glucose to avoid hypoglycemia
Give Insulin SQ or IV
Frequent Glucose monitoring
Monitor potassium think heart
HHS is BG elevated during illness/stress or decrease thirst, dehydration concentrated blood. High mortality rate no nausea or vomiting slow to get help
True
False
Treatment of Hyperosmolar Hyperglycemic State
IV fluids
IV insulin drip
Electrolyte Monitoring
Identify and treat the cause
Does a tumor from the pituitary or hypothalamus gland cause Growth Hormone Problems?
True
False
Growth Hormone Signs & Symptoms
Grow only to 3 to 4 feet w/ normal proportions
Slowed sexual maturation
May have mental retardation
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