NSG 3107 Lecture 12: Peds week 12
26 Apr 2018
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Endocrine glands and their hormones influence or regulate nearly everything size, mood, metabolism, intake, urinary output, sex and secual function. All endocrine glands can dysfunction and hyposecrete or hypersecrete hormones. Insulin: supportive care, correction of dehydration, correction of electrolytes, monitoring of: vital observations, blood sugar levels, electrolytes, intake and output, conscious state. T1d maintenance management: self management, minimize risk of hyper and hypoglycemia. Insulin: continuous via pump, intermittent injections, urine monitoring, diet meals and snacks, fluids, excerise, overall health, planning travel/changes in activity, blood glucose monitoring (looking for 4. 4-4. 6 mmol/l) and hemoglobin a1c levels. Intensive therapy: od or tid long-acting with to stimulate basal pancreatic action and rapid acting pre-meals: dosage determined empirally for each child (also change over time and with illness) Insulin pump (with catheter inserted into subq tissue and changed q48- 72h): delivers fixed amount of rapid acting insulin continuously to minic basal action of pancreas, programmed by parent or child to give bolus before meals.
