[NY2008]

Hypergrlycemia(Diabetic Ketoacidosis)

Assessment:
Blood sugar 300-800mg/dL
Headache, drowsiness, weakness, stupor, coma.
Hypotension, tachycardia
Skin warm and dry, dry mucous membrames, elevated T.
Polyuria progressing to oliguria, polydipsia, polyphagia.
Kussmaul’s R

Cause:
Decrease or missed insulin
Illness or infection
Untreated diabetes

Plan/Implementation
0.45%NaCI 200-500ml/h; then D5W or D5 ½ NS
Regular IV insulin 5u/h
Potassium replacement; check K* q 2-4h
ECG q 2-4h
check blood glucose level hourly

[jsamples]

Non-reactive Non-stress test is NOT good

Gluten free diet restricted food mnemonic
R rye
O oats
W wheat

pulmonary edema

M orphine
A minophyline
D igitalis

Diuretics lasix
O xygen
G gases (blood gases ABG's}

eye medications

Miotic
(little word- little pupil)

Mydriatic
(big word-big pupil)

tracheal esophageal fistula
(3c's)
chocking
coughing
cyanosis

LDL- want low or client will feel lowsy
HDL- want high for client to feel healthy

[SunnyBunny75]

Originally Posted by egclarke5

HYPERglycemic happens when a client is in diabetic ketoacidotic. Too much carbs (sugar) or not enough insulin.

EGClarke5

Yep exactly what I thought...thanks.

[NY2008]

American Cancer Society Warning Signs(CAUTION)

1) Change in bowel, bladder habitsbvious change
2) A sore that does not heal
3) Unusual bleeding or discharge
4) Thickening or a lump in the breast or elsewhere
5) Indigestion or difficulty in swallowing
6) Obvious change in a wart or mole
7) Nagging cough or hoarseness

[jsamples]

status epilepicus- seizure lasts longer than 4 minutes or successive seizures without regaining consciousness
Causes- sudden medication withdrawal, infection, head trauma, metabolic disorders, alcohol withdrawal
management-
maintain airway, notify physician, admisister oxygen, IV meds valium, dilantin, phenobarbital

protocol for entering isolation room
wash hands
put on gown and tie
put on and tie mask
put on face shield
put on gloves

leaving isolation room
untie gown at waist
take off gloves
untie gown at neck
pull gown off and place in garbage
take off face shield
take off mask
leave room and wash hands!

lyme disease
inflammatory disorder caused by an infection aquired through ticks
following a tick bite the 1st symptoms occur several days to a month following the bite
assess for small red pimple, macule or papule that spreads into a ringlike rash in 4-20 days rash can be large or small or may not occur at all making diagnosis difficult
assess for flulike symptoms headache stiff neck, fatigue and muscle aches

[SunnyBunny75]

Originally Posted by zaylee

The increased levels of ketones are due to lack of glucose which results in diabetic ketoacidosis.

Okay a lack of glucose taken in by the cells in which insulin facilitates the action of it, and the body breaks down muscle for fuel due to lack of glucose thus ketones form...duh...

Disregard my last question.

[zaylee]

Originally Posted by RNRabbit2be75

Okay a lack of glucose taken in by the cells in which insulin facilitates the action of it, and the body breaks down muscle for fuel due to lack of glucose thus ketones form...duh...

Disregard my last question.

Diabetic ketoacidosis (DKA) is a life-threatening condition that develops when cells in the body are unable to get the sugar (glucose) they need for energy, such as when you have diabetes and do not take enough insulin. Without insulin, the body cannot use sugar for energy. When the cells do not receive sugar, the body begins to break down fat and muscle for energy. When this happens, ketones, or fatty acids, are produced and enter the bloodstream, causing the chemical imbalance (metabolic acidosis) called diabetic ketoacidosis.

Your blood sugar may be quite high before you notice symptoms, which include:SX,

• Flushed, hot, dry skin.
• Blurred vision.
• Drowsiness or difficulty waking up. Young children may lack interest in their normal activities.
• Rapid, deep breathing.
• A strong, fruity breath odor (similar to nail polish remover or acetone).
• Loss of appetite, abdominal pain, and vomiting.
• Confusion.

[jsamples]

The patient is having a seizure and the nurse administers dilantin IV as an anticonvulsant the priority action is to assess for infiltration because it can cause erosion of the tissues and even loss of a limb

a patient is admitted for a possible cerebral bleed and has vitals taken every hour to monitor neuro status which assessment gives the nurse the most information on the extent of her bleeding
pupillary checks reflect functioning of the 3rd cranial nerve, which stretches as it becomes displaced with blood

[Footprints in Sand]

Tommorow is the day! I want to study but I have heard it's best to relax the day before and get a good nights rest. Last night I couldn't stopthinking so I did some relaxation tecnique I learned in nursing school and finally fell asleep.

[hase2000]

Originally Posted by jsamples

Non-reactive Non-stress test is NOT good

Gluten free diet restricted food mnemonic
R rye
O oats
W wheat

pulmonary edema

M orphine
A minophyline
D igitalis

Diuretics lasix
O xygen
G gases (blood gases ABG's}

eye medications

Miotic
(little word- little pupil)

Mydriatic
(big word-big pupil)

tracheal esophageal fistula
(3c's)
chocking
coughing
cyanosis

LDL- want low or client will feel lowsy
HDL- want high for client to feel healthy

This is awesome! It is good to take your time and memorize through these techniques rather than read lengthy hard facts over and over and forget them.
I think most of us should post such Items
I thank you very much