NR324 – Pathphysiology of DM

NR324 – Pathphysiology of DM

NR324 – Pathphysiology of DM

Diabetes

1. Pathphysiology of DM
2. Procedure for fasting blood glucose test & normal value
3. Glucose monitoring test procedure(AccuchecK)
4. Glycosylated hemogloblin normal range
5. Nursing assessment of clinical manifestations of Type 1 and Type 2
6. Therapeutic management; Diet, exercise, daily activities, promote safet,, prevent infection

Medications: Oral Antidiabetic Agents: sulfonylureas, alpha-guucosidase inhibitors, meglitinides, thiazolidinediones, biguanide, insulin therapy, gabepentin, glucagon

Complications like lipodystrophy

(Which oral hypoglycemic cannot be taken together, can be use with insulin, should be given with meals, which ones can be mixed etc.)

7. S/s of hypoglycemia treatment, and evaluation
8. Sick day interventions
9. Client teaching: diet, medications, foot care, sick day, how to administer insulin(storage, preparation, and injection sites) and perform accuchecks, s/s of adverse reactions to medications, plan for wellness(like exercise, monitoring BS etc.), teach s/s of hypoglycemia & hyperglycemia
10. Medications that may alter effects of insulin and oral hypoglycemic
11. What are the s/s of hyper & hypothyroidism. What is the treatment? What is synthroid, lugols solution, iodine, PTU
12. What are the s/s of Addison disease? What are the treatment? Labwork.
13. What are the s/s of cushing? What are the treatment? Lab work

*** You may use your Brunner & sudduth, lectures notes, pharmacology made easy, ATI, and pharamacology book from last semester. Remember to use the nursing process Assessment, Analysis, planning, implementation, and evaluation. Know how to prioritize Care: 1. ABC’s airway, breathing, and circulation 2. Maslow’s hierarchy of needs 3. Agency policy and procedure 4. Time 5. Client and family preference 6. Care related to client acuity 7. Priority in medication therapy. See table on next page.

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