Save
Busy. Please wait.
or

show password
Forgot Password?

Don't have an account?  Sign up 
or

Username is available taken
show password

why


Make sure to remember your password. If you forget it there is no way for StudyStack to send you a reset link. You would need to create a new account.
We do not share your email address with others. It is only used to allow you to reset your password. For details read our Privacy Policy and Terms of Service.


Already a StudyStack user? Log In

Reset Password
Enter the associated with your account, and we'll email you a link to reset your password.
focusNode
Didn't know it?
click below
 
Knew it?
click below
Don't know
Remaining cards (0)
Know
0:00
share
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.

  Normal Size     Small Size show me how

Hypoglycemia

Hypoglycemia and Hypoglycemia Treatment in DM Patients

TermDefinition
What is the BG l cutoff level of hypoglycemia ? BG < 70 mg/dL
What are some of the common s/sx of hypoglycemia? 1- dizziness 2- headache 3- anxiety 4- irritability 5- shakiness 6- diaphoresis ( sweat) 7- hunger 8- N 9- Confusion, lack of coordinations 10- tremors 11- palpitations ( fast HR) 12- blurry vision
What are some of the s/sx of SEVERE HYPOglycemia? 1- coma 2- seizure 3- death
Which class of anti DM drugs associated with high risk of drug induced hypoglycemia? 1- insulin 2- SU 3- Meglitinides 4- Pramlintide 5- other drugs are high risk when used in comb with insulin
Which class of drug masks the s/sx of HYPOglycemia? - beta blocker - prevents recognition of hypoglycemia --> severe form develops
which s/sx of hypoglycemia Beta blocker masks? 1- shakiness 2- palpitations 3- anxiety
which s/sx of hypoglycemia beta blocker DO NOT mask? - sweating - hunger
Which beta blocker drugs exacerbate insulin- induced hypoglycemia and delay the recovery of blood glucose? - NON selective beta blocker - carvedilol and propranolol
what is the rule of hypoglycemia treatment? - RULE OF 15 1- take 15-50 gram glucose/ simple carbs 2- recheck in 15 min 3- repeat 4- give small meal/ snack
What to avoid in pt with hypoglycemia? - avoid adding fat as it delay the absorption and prolong hypoglycemia
what are some examples of 15 gram simple carbs? - 3-4 glucose tab - 1 serving of glucose gel - 2 TABLEspoon of raisins - 1 TABLE spoon sugar, honey or corn syrup - 1/2 cup juice or soda - 1 cup of milk
Which patients population should Glucagon ( GlucaGen) be prescribed for? - pt with high risk of severe hypoglycemia
When is the use of GlucaGen indicated? - patient is unconscious - not conscious enough to self treat
Why patient should be placed on side ( lateral recumbent position) prior to injecting GlucGen? - to protect the airway - to prevent chocking
what is the GlucGen recommended dose? - 1 mg ( ONE mili gram ) - SC, IM or IV - check in 15 min, if still hypoglycemia, give another 1 mg
What is the targeted d blood glucose for inpatient? - inpatient/ hospitalized pt: 140-180mg/dL -
Why the sliding scale ( SSI) method is no longer recommended? - b/c it administers insulin in response to elevated blood sugar - it treats elevated blood sugar, not preventing it & it's not pt specific --> poor outcomes
Which approach is recommended to be used in hospital setting ( as SSI is no longer recommended)? - more proactive : controls BG and prevents complications - this includes: basal, bolus and correction dose - the correction dose is more pt specific vs. SSI
which approach is recommended to be used in non critically ill pt? - more proactive: controls BG and prevents complications - based on pt food intake: 1- poor intake: basal + correction dose 2- eating adequately: basal+ bolus + correction dose
Which insulin formulation and conc is used in hospital setting? - U-100 - Give as IV - short acting regular insulin U-100 - rapid acting insulin
Created by: Smoham38
 

 



Voices

Use these flashcards to help memorize information. Look at the large card and try to recall what is on the other side. Then click the card to flip it. If you knew the answer, click the green Know box. Otherwise, click the red Don't know box.

When you've placed seven or more cards in the Don't know box, click "retry" to try those cards again.

If you've accidentally put the card in the wrong box, just click on the card to take it out of the box.

You can also use your keyboard to move the cards as follows:

If you are logged in to your account, this website will remember which cards you know and don't know so that they are in the same box the next time you log in.

When you need a break, try one of the other activities listed below the flashcards like Matching, Snowman, or Hungry Bug. Although it may feel like you're playing a game, your brain is still making more connections with the information to help you out.

To see how well you know the information, try the Quiz or Test activity.

Pass complete!

"Know" box contains:
Time elapsed:
Retries:
restart all cards