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Questions and Answers
What is the primary cause of Diabetes Mellitus?
What is the primary cause of Diabetes Mellitus?
The primary cause of Diabetes Mellitus is a lack of insulin or insulin resistance.
How does Diabetes Insipidus differ from Diabetes Mellitus in terms of urine output?
How does Diabetes Insipidus differ from Diabetes Mellitus in terms of urine output?
Diabetes Insipidus leads to polyuria with low ADH and dehydration, while Diabetes Mellitus also causes polyuria but is due to high glucose levels.
What characterizes the treatment plan for Type I Diabetes Mellitus?
What characterizes the treatment plan for Type I Diabetes Mellitus?
The treatment plan for Type I Diabetes Mellitus primarily includes insulin therapy, along with diet and exercise.
What dietary approach is recommended for managing Type II Diabetes Mellitus?
What dietary approach is recommended for managing Type II Diabetes Mellitus?
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Describe the relationship between urine output and specific gravity in conditions like DM and DI.
Describe the relationship between urine output and specific gravity in conditions like DM and DI.
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What is the significance of Regular insulin's onset, peak, and duration parameters?
What is the significance of Regular insulin's onset, peak, and duration parameters?
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What are the key symptoms of Diabetes Mellitus?
What are the key symptoms of Diabetes Mellitus?
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How does the treatment for Type I Diabetes Mellitus differ from that for Type II?
How does the treatment for Type I Diabetes Mellitus differ from that for Type II?
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What are the primary characteristics of play in preschoolers aged 3-6 years?
What are the primary characteristics of play in preschoolers aged 3-6 years?
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Outline the three C's that characterize play for school-age children aged 7-11 years.
Outline the three C's that characterize play for school-age children aged 7-11 years.
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At what age do children typically transition from parallel play to cooperative play?
At what age do children typically transition from parallel play to cooperative play?
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What are some of the restrictions for adolescents following a laminectomy?
What are some of the restrictions for adolescents following a laminectomy?
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How does peer group association influence adolescent behavior?
How does peer group association influence adolescent behavior?
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What is the digestive effect of protein compared to carbohydrates?
What is the digestive effect of protein compared to carbohydrates?
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How do hypokalemia and hyperkalemia differ in terms of muscle reaction?
How do hypokalemia and hyperkalemia differ in terms of muscle reaction?
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What are the signs of hypercalcemia?
What are the signs of hypercalcemia?
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What symptom should be associated with hypernatremia?
What symptom should be associated with hypernatremia?
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What does the Trousseau sign indicate?
What does the Trousseau sign indicate?
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How should hyperkalemia be monitored in patients?
How should hyperkalemia be monitored in patients?
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What should be the nursing diagnosis for a patient with hyponatremia?
What should be the nursing diagnosis for a patient with hyponatremia?
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What electrolyte imbalance could accompany DKA besides high potassium?
What electrolyte imbalance could accompany DKA besides high potassium?
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What is the onset time for NPH insulin?
What is the onset time for NPH insulin?
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Which type of insulin is best administered with meals, and what is its onset time?
Which type of insulin is best administered with meals, and what is its onset time?
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What should be done when an insulin vial is opened?
What should be done when an insulin vial is opened?
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What are the two primary health issues a sick diabetic faces?
What are the two primary health issues a sick diabetic faces?
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List two common causes of hypoglycemia in diabetics.
List two common causes of hypoglycemia in diabetics.
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Describe the symptoms associated with hypoglycemic shock.
Describe the symptoms associated with hypoglycemic shock.
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Which treatment is recommended for unconscious hypoglycemic patients?
Which treatment is recommended for unconscious hypoglycemic patients?
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What is the primary cause of diabetic ketoacidosis (DKA)?
What is the primary cause of diabetic ketoacidosis (DKA)?
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What signs indicate dehydration in DKA patients?
What signs indicate dehydration in DKA patients?
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Which insulin is indicated for administration during DKA treatment?
Which insulin is indicated for administration during DKA treatment?
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What condition is characterized by high blood glucose in Type II diabetes without ketosis?
What condition is characterized by high blood glucose in Type II diabetes without ketosis?
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How does exercise affect insulin needs in diabetic patients?
How does exercise affect insulin needs in diabetic patients?
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How long is the duration of action for long-acting insulin like Glargine?
How long is the duration of action for long-acting insulin like Glargine?
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What dietary combination is recommended for treating hypoglycemia?
What dietary combination is recommended for treating hypoglycemia?
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What initial action should be taken for a COPD patient with low oxygen saturation levels, and why?
What initial action should be taken for a COPD patient with low oxygen saturation levels, and why?
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What is the range for oxygen saturation in patients, and what action should be taken if it falls below 93?
What is the range for oxygen saturation in patients, and what action should be taken if it falls below 93?
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In cases of elevated BNP levels, what should be assessed in the patient and what action should be prepared for?
In cases of elevated BNP levels, what should be assessed in the patient and what action should be prepared for?
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What are the definitions and significance of the Five Deadly D's in patient assessment?
What are the definitions and significance of the Five Deadly D's in patient assessment?
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Describe the implications of a CD4 count below 200 in an HIV patient.
Describe the implications of a CD4 count below 200 in an HIV patient.
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What distinguishes a non-psychotic person from a psychotic person in terms of insight?
What distinguishes a non-psychotic person from a psychotic person in terms of insight?
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List the three types of delusions.
List the three types of delusions.
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What is the main difference between hallucinations and illusions?
What is the main difference between hallucinations and illusions?
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Describe the first step in the four-step process of dealing with psychotic patients.
Describe the first step in the four-step process of dealing with psychotic patients.
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What is the main role of a nurse when working with functional psychotic patients?
What is the main role of a nurse when working with functional psychotic patients?
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What types of psychosis can individuals with functional psychosis typically maintain?
What types of psychosis can individuals with functional psychosis typically maintain?
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What is the significance of setting limits when dealing with psychotic patients?
What is the significance of setting limits when dealing with psychotic patients?
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What is an example of a hallucination that a psychotic individual might experience?
What is an example of a hallucination that a psychotic individual might experience?
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What are the four diseases that comprise 90% of functional psychosis?
What are the four diseases that comprise 90% of functional psychosis?
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Why are bipolar individuals only psychotic during the mania phase?
Why are bipolar individuals only psychotic during the mania phase?
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What is a common auditory hallucination experienced by patients?
What is a common auditory hallucination experienced by patients?
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What type of feeling should be present when communicating with a psychotic patient?
What type of feeling should be present when communicating with a psychotic patient?
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Explain the concept of grandiose delusions.
Explain the concept of grandiose delusions.
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What does it mean when a patient exhibits somatic delusions?
What does it mean when a patient exhibits somatic delusions?
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Provide an example of a tactile hallucination.
Provide an example of a tactile hallucination.
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Study Notes
Key
- bold (titles)
- red (important letters or mnemonics)
- yellow (highlighted info)
Acid Base Balance
- Convert lab values to words & interpret
- Rule of the B's
- If the pH & the Bicarbonate are Both in the same direction then it's metabolic
- otherwise it's respiratory (since it has no B in it)
- pH = 7.35-7.45
- HCO3 = 22-26
- CO2 = 35-45
- Principles
- As the pH goes, so goes my patient – except for K+
- alkalotic - hyper & irritable
- pH goes up → pt needs suctioning cause they could seize & aspirate
- pH goes down – acidosis – low & slow → pt needs Ambu bag cause they could go into respiratory arrest
- MAC Kussmaul
- only acid base balance to cause Metabolic Acidosis with Kussmaul respirations
- Example: Pt has respiratory acidosis. SATA
- +1 reflexes !!
- Diarrhea – high X
- Adynamic ileus !! (Without movement)
- Spasm - high X
- Urinary retention !!
- Paroxysmal atrial tachycardia – high X
- Hypokalemia – would be hyperkalemia due to exclusion of K+
- First ask "Is it LUNG?" → respiratory problem
- Second ask "Are they over ventilating or under ventilating?"
- OVERventilating = alkalosis (OVER 7.45)
- UNDERventilating = acidosis (UNDER 7.35)
- Ventilation is about gas exchange not respiratory rate (not about RR), It's about the SAO2
Ventilators
- High pressure alarms – always triggered by increased resistance to air flow
- Machine is having to push too hard to get the air into the lungs
- Caused by obstructions!
- Kinks → unkink it
- Water condensing in the tube → empty it
- Mucus secretions in airway → change position, turn, cough, deep breathe, & then suction (more suction = more secretions problems)
- Mobilize secretions after they turn, cough, & deep breathe
- Low pressure alarms – always triggered by decreased resistance to air flow
- Machine works too little/too easy to get air into lungs
- Caused by disconnections!
- Main tubing = reconnect
- O2 sensor tubing (measures FIO2; oxygen delivered) = plug it back in
- Only reconnect unless tube is on floor – bag pt & call RT
- Settings
- Overventilated = setting too high = respiratory alkalosis - panting
- Underventilated = setting too low = respiratory acidosis - retaining CO2
Alcohol (Lecture 2)
- Number one problem in all abusive situations = Denial
- Abusers have an infinite capacity to deny in order to continue the behavior – allows them to keep doing it without having to answer for it/deny that they have a problem
- Why is this a problem? → can't treat someone who denies they have a problem
- Definition – refusal to accept the reality of a problem
- How to treat? Confrontation attacks problem while aggression attacks person
- When dealing with psychodynamic issues with staff, use the “I” statements not "You”
- Denial is okay in loss & grief support not confront!
- Stages of grief – DABDA
- Dependency/codependency
- Dependency – abuser asks partner to do things for them
- Codependency – partner gets positive self-esteem from doing things for abuser
- How to treat? Set limits & enforce them
- Teach partner to say no
- Work on self-esteem of codependent person
Manipulation
- When abuser gets partner to do things that are not in the best interest of partner (dangerous & harmful)
- Like dependency – getting partner to do things
- Manipulation = dangerous & harmful
- Dependency = not inherently dangerous & harmful
- How to treat? Set limits & enforce them
Wernicke (Korsakoff) Syndrome
- Go together
- Wernicke – encephalopathy
- Korsakoff - psychosis
- Psychosis induced by Vit B1, thiamine deficiency (lose touch with reality due to deficiency)
- Primary S/Sx
Antabuse & Revia (Disulfiram)
- Aversion therapy - develop a gut hatred for habit
- When you take alcohol, you will get super sick
- Doesn't work as well as they say it does – just in theory
- Onset & duration = 2 weeks
- Patient teaching: avoid all forms of alcohol to avoid N/V, death
Overdose & Withdrawal
- Every abused drug is either an Upper or Downer
- Laxatives are abused by the elderly
- Upper
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Description
Test your knowledge on the causes and treatments of Diabetes Mellitus, as well as the characteristics of play in preschoolers and school-age children. This quiz covers various aspects of diabetes types, their management, and important developmental milestones in childhood. Challenge yourself to understand the differences between diabetes types and the impact of play on child development.