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Test 1 _ annas
diabetes, renal, dialysis
| Question | Answer |
|---|---|
| Peak Rapid | 60-90min |
| Peak short acting | 2-3hr |
| peak intermidiate | 4-10 hr |
| long term insulin peak | None |
| which insulin is used for mealtime coverage for patients receiving intensive insulin therapy: | Rapid and short acting insulin |
| What would you teach a diabetic pt taking glipizide (Glucotrol)? | hypoglycemia, Weight gain, Allergic skin reactions, eczema, pruritus, erythema, Give drug before breakfast, do not use when pregnant, Avoid alcohol |
| Somogyi effect | (the “rebound” effect ) too much insulin causes hypoglycemia at night body over compensates leading to hyperglycemia in the morning. Increasing their food intake or lowering their insulin dose in the evening. |
| What is the most appropriate snack to offer to a diabetic to prevent rebound hypoglycemia | -if alert enought to swallow: give 15-20 g of a simple carb like juice or regular soda -avoid foods with fat, they decrease the absorption of sugar. |
| metformin (Glucophage) and what RN needs to know about pt monitoring | Lactic acidosis. GI: Anorexia, nausea, vomiting, epigastric discomfort, heartburn, diarrhea, flatulence Hypersensitivity: Allergic skin reactions, eczema, pruritus, erythema, urticarial, Reduce vitamin b levels |
| rosiglitazone (Avandia) what are you concerned about: (thiozolididiones) : | weight gain, Edema, Hepatic toxicity, anemia, |
| RN priorities for a pt admitted with ketoacidosis: | Airway, fluid, electrolytes. |
| Review early signs of chronic kidney disease (CKD) | GFR less than 60 for 3 months, |
| What labs does an RN need to monitor with gentamicin (Garamycin) administration | neuromuscular blockage, ototoxic to eighth cranial nerve (tinnitus,vertigo, ataxia, nystagmus, hearing loss), nephrotoxic. |
| How does an RN correct outflow problems for a pt receiving peritoneal dialysis | Bowel evacuation |
| 15. What kind of nsg interventions are important to stress out for a patient with chronic kidney disease (CKD): | teach on diet. S&S of electrolyte imbalance. Watch weight gain, SOB, Edema, lethargy |
| CKD, chemodialysis and nutrition - how do you manage your patient | K+ restrictions: greens, most fruits, brans, chocolate, nuts and seeds. Restrict protein because of Bun and Creatinine. |
| Compare and contrast continuous ambulatory peritoneal dialysis (CAPD) and hemodialysis | CAPD- less diet restrictions, few complications, best for diabetes, less cardiovascular requirement, Dis: catheter migration, infection, hyperglycemia, Hemodialysis: rapid fluid removal, effective k+ removal, less protein lost, lows trigricerides, |
| diabetic pt is on gentamicin - how do you monitor the pt (review adverse effects and labs associated with it) | monitor renal function, force fluids, monitor hearing acuity. Draw blood for peak levels 1 hr. after IM and 30 min - 1 hr. after IV infusion, draw blood for trough just before next dose. BUN and creatinine |
Created by:
myrn2011
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