PAT 20A/B Study Guide - Midterm Guide: Glycated Hemoglobin, Diuresis, Metabolic Acidosis
14 Feb 2016
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Humulin-n insulin sc not used in the management of acute dka. Treatment with an iv insulin infusion can cause the potassium to return to the cells --- causing. Disorientation confusion lethargy cool, clammy skin slurred speech. The symptoms have an abrupt onset that is often brought on by viral illness, like the flu. The diagnosis of diabetes is based on 2 fasting blood glucose levels greater than 126 mg/dl. Hemoglobin: can be altered b/c of hydration. Calcium: should be monitored for pts with dka. Potassium: treatment with an iv insulin infusion will cause the potassium to return to the cells and may result in hypokalemia. Bun: dehydration that occurs with dka can lead to increased bun. This test reflects average blood glucose over a period of approx. 120 day, the life of the average rbc. Glucose molecules attach to hemoglobin in the rbc. The longer the glucose in the blood is above normal, the higher the % of glycosylated hemoglobin.
