NUR 3225 Study Guide - Midterm Guide: Retinal Detachment, Vitrectomy, Low-Density Lipoprotein

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10 Nov 2017
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Diabetes: differentiate between type 1 and type 2 diabetes. Specifically, understand the different risk factors, nursing care, and medication management. What do the two types have in common: type 1 diabetes mellitus, formerly known as juvenile-onset or insulin-dependent diabetes, accounts for 5%-10% of all cases of diabetes, onset in people younger than 40 years. Incidence increasing: more frequently in younger children, autoimmune destruction of -cells, total absence of insulin, genetic predisposition and viral exposure, hla-dr3 and hla-dr4. Increasing prevalence in children: greater prevalence in ethnic groups, pancreas continues to produce some endogenous insulin. Insulin insufficient or poorly utilized: multiple etiologic factors, obesity is greatest risk factor, genetic component increases insulin resistance and obesity, major metabolic abnormalities. Insulin resistance: decreased insulin production by pancreas. Too much insulin in proportion to glucose in the blood: blood glucose level less than 70 mg/dl, neuroendocrine hormones released, autonomic nervous system activated, common manifestations.