NUR 316 Study Guide - Quiz Guide: Blurred Vision, Adrenergic Receptor, Glycosuria
30 Apr 2019
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The drug classification is added in almost 90% of the questions or can be established by reviewing other exam questions. Type 1: insulin replacement therapy, beta cells completely destroyed (antibodies for islet cells). Type 2: oral agents to stimulate beta receptors in cells (decreased or defective insulin receptors). Hypoglycemia: (low blood sugar, 40 mg/dl or less) Occurs in number of clinical situations including starvation. Lab tests: urine glucose negative, blood glucose low. Onset: sudden: pt appears anxious, drunk, associated with overdose of insulin, missing a meal, or increased stress. Sx: polydipsia, polyphagia, polyuria, fatigue, lethargy. If sx go unchecked the pt will experience ketoacidosis and cns changes that can progress to coma. s/sx of impending complications of hyperglycemia include: decreased loc, sluggishness, hypoactive reflexes, hypotension, kussmaul respirations, acetone breath, n/v. 2. 5-5 hours glucose level to treat hyperglycemia and to prevent nocturnal hypoglycemia. 30 min before meal, may be taken alone or with longer acting- insulin.
