a MCPHS- Provider I- Ch 41- Assessment & Management of Pts w/DM
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| show | Diabetes Mellitus
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| show | Insulin secretion, Insulin action, Both
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| show | Transport, Metabolism, Stimulates storage, Inhibits breakdown, Signals liver to stop release
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| show | Liver & muscles
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| show | Enhances storage of dietary fat in adipose tissue, Transport of amino acids into cells, Inhibits breakdown of protein and fat
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| show | Autoimmune destruction of Beta cells in pancreas
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| show | Decreased sensitivity to insulin (resistance), Impaired beta cell function
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| show | Type 2 DM
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| show | 126 mg/dL
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| show | 200 mg/dL
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| show | Polyuria, Polydipsia, Polyphagia
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| Polydipsia vs. Polyphagia | show 🗑
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| Dietary goals r/t DM | show 🗑
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| Diabetic ketoacidosis(DKA) caused by | show 🗑
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| show | Noncompliance w/insulin regimen, Illness/infection, Undiagnosed/untreated diabetes
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| show | Type II diaetes
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| show | Type I and Type II diabetes, Not only Pts using insulin
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| Glucagon function | show 🗑
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| Pathophysiology effects r/t Type I diabetes | show 🗑
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| Ketone bodies are byproducts of | show 🗑
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| show | Abd pain, N/V, Hyperventilation, Acetone breath(fruity odor)
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| show | Insulin resistance, Impaired insulin secretion
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| show | Weight loss
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| Main goal r/t Diabetes treatment | show 🗑
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| Glycated hemoglobin(A1C) reflects | show 🗑
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| A1C binds to | show 🗑
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| Rapid-acting vs. Short-acting vs. Intermediate-acting vs. Very long-acting r/t Insulin names | show 🗑
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| show | R:15 min, S:30 min, I:2 hrs, V:1 hr
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| show | Mimic normal pattern of insulin secretion d/t food intake and activity patterns
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| Pt requirements r/t Complex insulin regimens | show 🗑
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| Complications r/t Insulin therapy | show 🗑
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| 3 types of Morning hyperglycemia | show 🗑
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| Alternative methods r/t Insulin delivery | show 🗑
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| show | Needle insertion & insulin injection
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| show | Abd(fastest), arm, thigh, hip(slowest)
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| Hypoglycemia r/t Blood glucose level | show 🗑
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| show | Too much insulin or physical activity, Too little food
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| show | Mild:adrenergic symptoms(sweating, tremor, tachycardia, hunger), Moderate:adrenergic symptoms plus some CNS impairities, S:extremely impaired CNS function(Pt needs assistance)
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| show | 15g fast-acting concentrated CHO
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| Emergency treatment r/t Hypoglycemia | show 🗑
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| show | Peak insulin activity
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| 3 main clinical feature r/t DKA | show 🗑
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| DKA treatment factors that reduce serum K levels | show 🗑
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| Precipitating events r/t HHNS | show 🗑
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| Ketosis & acidosis r/t HHNS | show 🗑
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| Manifestations r/t HHNS | show 🗑
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| show | Fluid replacement, Correct electrolyte imbalances, Insulin administration
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| show | Changes in blood vessels of retina
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| Autonomic neuropathy r/t Adrenergic symptoms of hypoglycemia | show 🗑
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| show | Numbness around mouth, Difficulty concentrating
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| Manifestations r/t Sudomotor neuropathy | show 🗑
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