Flashcards in Diabetic Emergencies Deck (19)
What does diabetes mellitus indicate?
Glucose in urine
Which type of diabetes cause the patient to not be able to produce insulin?
Type 1 diabetes ( Insulin dependent diabetes mellitus)
When does type 1 diabetes usually start?
When does type 2 diabetes usually occur?
Later in life
Which type of diabetes produces insulin but it doesn't function effectively?
Type 2 diabetes (non insulin dependent diabetes mellitus)
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)
What are the three classic symptoms of uncontrolled diabetes?
Polyuria (Frequent urination)
Polydipsia (frequent drinking from thirst)
Polyphagia excessive eating)
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
What are four signs and symptoms of diabetic keto acidosis?
Prolonged and exceptionaly high hyperglycemia results in what?
Hypoglycemia will lead into what?
Why more likely will occur if a patient ate but didn't take insulin?
(Too much sugar- insulin can't regulate it)
What most likely will occur if the patient hasn't eaten but has taken insulin?
(Hypoglycemia shuts down brain)
What is the dose of D50 for adults?
25g in 50 mL normal saline
How do you draw up D50 for children 3 months -7 years?
Dose is D25
Empty half of D50 and fill with normal saline
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
What are three signs of hyperglycemia? (3 Ps)
In islets of langerhans, what do alpha class secrete?