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Acute complications

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Term
Definition
Insulin Reactions   hypoglycemia below 70 - too much insulin, too little food, or excessive physical activity  
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Insulin Reactions   15 gram carbohydrate fast acting concentrated source; juice  
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Insulin Reactions   unconscious adults rewquire injection of glucagon 1 mg subcutaneous  
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Glucagon   hormone produced by the alpha cells of the pancrease that stimulates the liver to breakdown glycogen, the stored insulin  
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Diabetic Ketoacidosis   may be intial diagnosis of Type 1  
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DKA   3 main characteristics - hyperglycemia, dehydration and electrolyte loss; acidosis  
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DKA   breakdown of fat into free fatty acids and glycerol that are convered into ketons causing metabolic acidosis  
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DKA   3 main causes - decreased/missed dose of insulin, illness or infection and undiagnosed and untreated diabetes  
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Sick Date rules   take insulin or oral antidiabetic agents as usual; test blood sugar q 3-4 hours;  
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DKA   leads to polyuria; polydipsia, marked fatigue  
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HHS (hyperglycemic hyperosmolar syndrome)   effects Type 2-resulting from a relative insulin deficiency due to illness  
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HHS   occurs in older adults 50-70 years of age  
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HHS   ketosis AND acidosis do not occur  
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HHS   clinical manifestation hypotension, profound dehydration, tachycardia, altered consciousness, seizure  
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HHS   treatment fluid replacement 0.45 or o.9 normal saline with potassium addition  
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Created by: N122-medsurg
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