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Flashcards in Diabetic Emergencies Deck (19):
1

What does diabetes mellitus indicate?

Glucose in urine

2

Which type of diabetes cause the patient to not be able to produce insulin?

Type 1 diabetes ( Insulin dependent diabetes mellitus)

3

When does type 1 diabetes usually start?

Childhood

4

When does type 2 diabetes usually occur?

Later in life

5

Which type of diabetes produces insulin but it doesn't function effectively?

Type 2 diabetes (non insulin dependent diabetes mellitus)

6

What does the islets of langerhans do when blood glucose levels drop?

The alpha cells release glucagon to convert stored glycogen back into glucose

(Process called glycogenolysis)

7

What are the three classic symptoms of uncontrolled diabetes?

Polyuria (Frequent urination)
Polydipsia (frequent drinking from thirst)
Polyphagia excessive eating)

8

What causes diabetic keto acidosis?

No glucose so body uses fat as energy source
Ketones and fatty acids are waste products and hard to excrete
Body becomes acidotic

9

What are four signs and symptoms of diabetic keto acidosis?

Vomiting
Abdominal pain
Kussmaul respirations
Fruity breath

10

Prolonged and exceptionaly high hyperglycemia results in what?

Ketoacidosis

11

Hypoglycemia will lead into what?

Insulin shock

12

Why more likely will occur if a patient ate but didn't take insulin?

DKA

(Too much sugar- insulin can't regulate it)

13

What most likely will occur if the patient hasn't eaten but has taken insulin?

Insulin shock

(Hypoglycemia shuts down brain)

14

What is the dose of D50 for adults?

25g in 50 mL normal saline

15

How do you draw up D50 for children 3 months -7 years?

Dose is D25

Empty half of D50 and fill with normal saline

16

How do you set up D10 for children under 3 months?

Put 2 mL of D50 into syringe and add 8 mL of normal saline

17

What are three signs of hyperglycemia? (3 Ps)

Polydipsia
Polyurea
Polyphagia

18

In islets of langerhans, what do alpha class secrete?

Glucagon

19

In islets of langerhans, what do beta cells secrete?

Insulin