NURS201 Lecture Notes - Lecture 9: Autonomic Neuropathy, Neuropathic Pain, Diabetes Mellitus Type 2
11 Dec 2017
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Key concepts: metabolic syndrome, type 1 and type 2 diabetes, levels of prevention, health promotion, nurse practitioner, chronic disease management (expanded chronic care model) Vulnerable to heat or cold injury, mechanical injury do not feel anything: sensory neuropathy loss of pain, pressure, fissuring, dryness, muscular atrophy, pvd: poor wound healing, neuropathic pain can persist tens, gabapentin, antidepressants, analgesic. Articulate the similarities and differences in type 1 and type 2 diabetes. Increased blood glucose results in: absence of insulin, kidneys- osmotic diuresis, breakdown of fat- lipolysis to attempt, clinical manifestations, hyperglycemia, dehydration, electrolyte imbalance and loss, acidosis, causes, decreased or missed insulin. Illness or infection- important to teach about how to manage illness: undiagnosed or untreated diabetes, insulin, for type 1 normally; can be used for type 2, types: bolus, basal, mixed, vials not being used should be refrigerated. Those in use can be kept at room temperatures for about 1 month.
