Nursing 3910A/B Chapter 3: Week 3 3910A Readings

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Nursing care of the child with an endocrine disorder. In j. chow, c. a. ateah, s: scott, s. s. ricci, & t. kyle, canadian maternity and pediatric nursing (pp. Day & b. williams, bru(cid:374)(cid:374)er & suddarth"s ca(cid:374)adia(cid:374) text(cid:271)ook of (cid:373)edi(cid:272)al-surgical nursing (3rd ed. , pp. Assessment and management of patients with diabetes mellitus. In the diabetic state, the cells may stop responding to insulin or the pancreas may stop producing insulin entirely. This leads to hyperglycemia, which may result in acute metabolic complications such as diabetic ketoacidosis (dka) and hyperglycemic hyper-osmolar nonketotic syndrome (hhns). When your body begins to break down fat instead of glucose it creates ketone which are acidic to the blood. Approximately 90% of people with diabetes have type 2 diabetes (canadian diabetes association, 2014a), which results from decreased sensitivity to insulin (called insulin resistance) and impaired beta cell functioning resulting in decreased insulin production. Type 2 diabetes is first treated with diet and exercise.

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