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Test 1 _ annas

diabetes, renal, dialysis

QuestionAnswer
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