*NURSING > EXAM REVIEW > NR601 Final Exam Study Guide ALL ANSWERS FALL-2021 LATEST SOLUTION 100% GUARANTEED GRADE A+ (All)

NR601 Final Exam Study Guide ALL ANSWERS FALL-2021 LATEST SOLUTION 100% GUARANTEED GRADE A+

Document Content and Description Below

Islet cell-specific antibodies may be identified in 70-80% of people with prediabetes & those newly dx with DM1 and hyperglycemia typically develops once 80-90% of beta cells have been destroyed. In ... Type I diabetes, an auto-immune attack on the beta cells of the pancreas prevents the production and secretion of insulin into the blood. Thus, Type I diabetes inhibits this first step in the insulin pathway. And since it decreases the production of insulin, it's referred to as an insulin deficiency. In DM2, drug-induced, and GDM, the pancreas continues to secrete insulin. However, it's the cells throughout the body that are unable to adequately respond to it (decrease in beta cell function), so these mechanisms inhibit the second step in the insulin pathway = insulin resistance, which can be thought of as a relative insulin deficiency. o Diagnostic criteria is based on: ketonuria, age of onset, & BMI ▪ Antibody testing and c-peptide levels determine type: Ab to islet & beta cells are present in 70-80% for Type 1 (not for Type 2), extremely low levels of c-peptide are only seen in Type 1; Type 2 usually occurs ≥ 40 y.o. & BMI > 27 with no or minimal ketonuria ▪ DX is with either 2 FBG ≥ 126 mg/dL or a random BG ≥ 200mg/dL with sx present ▪ Patients who are symptomatic & have 1 + test are dx with DM2; if asymptomatic, 2 + tests are necessary for dx (Khan videos) ▪ HbA1c ≥ 6.5 = DM2 ▪ When hyperglycemia is evident, fasting urine should be checked for ketones to determine Type 1 or 2 and the need for insulin therapy ▪ Screening recommended for anyone who is overweight and has additional risk factors. ▪ Screening should begin at 45 years old and repeated Q3 years (or frequently if multiple risk factors are present) ▪ Additional labs at dx, then annually: fasting lipid profile, eGFR, creatinine, UA, & liver function o Initial treatment recommendations for Type 2: the goal of tx is glycemic control, good nutritional status through weight management and exercise (insulin is usually considered 2nd line therapy when combo therapy fails) ▪ Lifestyle modifications are 1st line therapy for new dx with mild-moderate hyperglycemia (weight loss and exercise)- if after 3-6 months non-pharm tx fails or FBG is 200-300 (or random BG is 250- 350) then add an oral agent like Metformin; dual agent pharmacotherapy not recommended unless A1c ≥ 9% ▪ Metformin (Glucophage) is a biguanide that acts by decreasing hepatic glucose production, decreasing glucose intestinal absorption, & increasing insulin sensitivity. May be used with insulin 1st line oral agent: initial dosing is 500mg daily with breakfast or dinner x 1 week, then BID with meals (long-term tx may decrease B12 absorption, so check annually especially w/ complaints of peripheral neuropathy) ▪ Sulfonylureas (glipizide, glimepiride, glyburide[Beers PIM]) are insulin secretagogues and act by increasing pancreatic insulin secretion and lower HbA1c by 1.25% ▪ Meglitinides (nateglinide-Starlix & repaglinide-Prandin) are insulin secretagogues that increase endogenous release of insulin from the pancreas, and reduce A1c by about 1% ▪ Thiazolidinedines (TZDs) May be used with insulin (piaglitazone (Actos) & rosiglitazone (Avandia) are insulin sensitizers that increase insulin sensitivity to increase glucose utilization and decrease hepatic glucose production, and reduce A1c by 1-1.5% *don’t use in pts with HF, bladder cancer, osteoporosis, or liver disease [Show More]

Last updated: 1 year ago

Preview 1 out of 6 pages

Reviews( 0 )

Recommended For You

 *NURSING> EXAM REVIEW > Pharmacology-Final-Exam-Review ALL ANSWERS 100% CORRECT SPRING FALL-2022 LATEST SOLUTION GUARANTEED GRADE A+ (All)

preview
Pharmacology-Final-Exam-Review ALL ANSWERS 100% CORRECT SPRING FALL-2022 LATEST SOLUTION GUARANTEED GRADE A+

Nursing Process & Drug Therapy • In a prescription what must you have: o name of the med o route- (no route call the Dr. and verify it) o date/time o dose o time/frequency of med o Dr. signat...

By Allan100 , Uploaded: Jun 07, 2022

$9.5

 Health Care> EXAM REVIEW > NR 601 Comprehensive Final exam study guide and practice question (All)

preview
NR 601 Comprehensive Final exam study guide and practice question

NR 601 Comprehensive Final exam study guide and practice questionNR 601 Comprehensive Final exam study guide and practice questionNR 601 Comprehensive Final exam study guide and practice questionNR 60...

By DOCTOR BEN , Uploaded: May 25, 2022

$16

 *NURSING> EXAM REVIEW > NR 503 MIDTERM & FINAL EXAM STUDY GUIDE– QUESTION AND ANSWERS (All)

preview
NR 503 MIDTERM & FINAL EXAM STUDY GUIDE– QUESTION AND ANSWERS

NR 503 MIDTERM & FINAL EXAM STUDY GUIDE– QUESTION AND ANSWERS

By quizprof , Uploaded: May 11, 2022

$17

 Health Care> EXAM REVIEW > ATI FUNDAMENTALS PROCTORED EXAM STUDY GUIDE (All)

preview
ATI FUNDAMENTALS PROCTORED EXAM STUDY GUIDE

ATI FUNDAMENTALS PROCTORED EXAM STUDY GUIDE Topics include: I. End of Life/Cancer II. Blood Pressure III. Communication IV. Neurology V. Gastrointestinal System VI. Patient Teaching...

By Marvellouspass , Uploaded: Apr 25, 2022

$7

 *NURSING> EXAM REVIEW > Defense Acquisition University CLG0010 ALL ANSWERS 100% CORRECT SPRING FALL-2022 LATEST SOLUTION GUARANTEED GRADE A+ (All)

preview
Defense Acquisition University CLG0010 ALL ANSWERS 100% CORRECT SPRING FALL-2022 LATEST SOLUTION GUARANTEED GRADE A+

1. Executive orders 12674 and 12731 form the foundational policy on the ethical conduct of federal employees. What are three violations of these executive orders Using public office for private gai...

By Allan100 , Uploaded: Apr 12, 2022

$8.5

 *NURSING> EXAM REVIEW > NR 599 midterm review ALL ANSWERS 100% CORRECT SPRING FALL- 2022 LATEST SOLUTION GUARANTEED GRADE A+ (All)

preview
NR 599 midterm review ALL ANSWERS 100% CORRECT SPRING FALL- 2022 LATEST SOLUTION GUARANTEED GRADE A+

General principles of Nursing Informatics • Verbalize the importance of health information systems with clinical practice. • Have knowledge of types and clinical and administrative uses of health in...

By Allan100 , Uploaded: Apr 12, 2022

$9.5

 *NURSING> EXAM REVIEW > REGIS. NU 650 FINAL EXAM STUDY GUIDE COMPLETE SOLUTION GUIDE FOR THE FINALS NEW SOLUTION 2021-2022 (All)

preview
REGIS. NU 650 FINAL EXAM STUDY GUIDE COMPLETE SOLUTION GUIDE FOR THE FINALS NEW SOLUTION 2021-2022

REGIS. NU 650 FINAL EXAM STUDY GUIDE COMPLETE SOLUTION GUIDE FOR THE FINALS NEW SOLUTION 2021-2022 Order of Assessment - CORRECT ANSWER Inspection, Palpation, Percussion and Auscultation. EXCEPT wit...

By YongSam , Uploaded: Mar 25, 2022

$8.5

 *NURSING> EXAM REVIEW > Final REVISED Final Exam Study Guide Patho Spring 2020 (All)

preview
Final REVISED Final Exam Study Guide Patho Spring 2020

▪ Gastritis Gastritis – inflammation of the stomach lining Acute Gastritis – (just acquired) ingestion of toxins, alcohol, aspirin or other irritating substances Chronic- 2 months to become chronic...

By Dr Fiona , Uploaded: Feb 22, 2022

$15

 Economics> EXAM REVIEW > Econ 528: Managerial Economics Final Exam Study Guide (Spring2020) - University of Louisiana at Lafayette (All)

preview
Econ 528: Managerial Economics Final Exam Study Guide (Spring2020) - University of Louisiana at Lafayette

1. Three graduate business students are considering operating a tofu burger stand in the Dalles, Oregon, windsurfing resort area during their summer break. This is an alternative to summer employment...

By PHISHER , Uploaded: Dec 06, 2021

$20

 *NURSING> EXAM REVIEW > NUR 2092 Health Assessment Spring 2017 Final Exam Study Guide-Rasmussen (All)

preview
NUR 2092 Health Assessment Spring 2017 Final Exam Study Guide-Rasmussen

NUR 2092 Health Assessment Spring 2017 Final Exam Study Guide-Rasmussen

By STUDY-GUIDENOTES , Uploaded: Dec 01, 2021

$9

$13.00

Add to cart

Instant download

Can't find what you want? Try our AI powered Search

OR

GET ASSIGNMENT HELP
97
0

Document information


Connected school, study & course



About the document


Uploaded On

Oct 22, 2021

Number of pages

6

Written in

Seller


seller-icon
Allan100

Member since 3 years

16 Documents Sold


Additional information

This document has been written for:

Uploaded

Oct 22, 2021

Downloads

 0

Views

 97

Document Keyword Tags

THE BEST STUDY GUIDES

Avoid resits and achieve higher grades with the best study guides, textbook notes, and class notes written by your fellow students

custom preview

Avoid examination resits

Your fellow students know the appropriate material to use to deliver high quality content. With this great service and assistance from fellow students, you can become well prepared and avoid having to resits exams.

custom preview

Get the best grades

Your fellow student knows the best materials to research on and use. This guarantee you the best grades in your examination. Your fellow students use high quality materials, textbooks and notes to ensure high quality

custom preview

Earn from your notes

Get paid by selling your notes and study materials to other students. Earn alot of cash and help other students in study by providing them with appropriate and high quality study materials.


$13.00

WHAT STUDENTS SAY ABOUT US


What is Browsegrades

In Browsegrades, a student can earn by offering help to other student. Students can help other students with materials by upploading their notes and earn money.

We are here to help

We're available through e-mail, Twitter, Facebook, and live chat.
 FAQ
 Questions? Leave a message!

Follow us on
 Twitter

Copyright © Browsegrades · High quality services·