Nursing 120 Quiz 2 Tutoring- West Coast University

Week 3

• Diverticulitis diet

o Inflammation and infection of bowel mucous. First NPO, than on clear liquid

diet, low fiber,

o Avoid etoh, seed ingestion, nuts, popcorn, seeds,

o Avoid use of enemas, drink 2-3L fluids of water

• Diverticulosis diet

o Presence of small diverticula in the colon without inflammation

▪ Increase fiber intake, start on clear liquid first (ex. Lemon juice, gelatin,

grape juice, chicken/beef broth, cranberry and apple juice)

▪ Decrease fat intake and red meat intake

▪ Increase activity

▪ And try to manage weight

o Make sure pt is on low acid food, (no tomatoes) give them cereal and oatmeal

• Metformin pt teaching

o Glucophage

▪ Decrease amount of glucose produced by liver

• Side effect is GI upset (gas, n/v/ anorexia)

▪ Pt teaching: pt takes meds with food (to avoid GI upset), take

vitamins B12 and folic acid supplements

▪ Safe during pregnancy and good during gestational dm

▪ Not okay to crush or chew

▪ Causes weight loss

• Protonic

o Given at hospitals to avoid ulcers due to stress at the hospitals

o Given IV push

• IBS (irritable bowel syndrome/disorder)

o Ulcerative (localized inflammation of colon and the rectum)

o Crohns (segments of the GI tract)\

• Ostomy bags

o Pink and red means its okay

o Blue/purple/pale becoming infected or necrotic

▪ Call physician ASAP

o Nurses job to clean it up

o No specific location it is placed

• Type 1 and type 2 diabetes

o Type 1: normal 70-110mg/dl

o Fasting is above 120mg/dl

o 60mg/dl is hypoglycemia

o normal urine specific gravity 1.01-1.025

▪ Normal urine output 30ml per hour

o know the different types of diabetes: 5

o glucagon with increase glucose levels

 1 / 2

o insulin decrease glucose levels

o sliding scale (take BS and than it will tell you how much insulin to give)

o HBA1C:

▪ Tells you if the pt is following the regimen, Anything above 6.5

is concerning. Taken every 3 months

o Signs and symptoms of DM

▪ Polyuria

▪ Polydipsia

▪ Polyphagia

o IF you have an elderly pt, who keeps trying to use the restroom what do you do?

▪ Check their blood sugar

▪ If glucose level is high notify the provider

o Complications for DM

▪ Kidney (nephropathy)

▪ Heart

▪ Eyes (retinopathy)

▪ Neuropathy (see podiatrist if they have a wound)

• Prolong wound healing

o Insulin

▪ Rapid acting: Humalog (Lispro) Apidra (glulisline), Novalog (aspart)

give AC kick in 10-30 minutes

▪ Short acting: regular insulin (only one that can be given IV). AC kicks in

30-60 minutes

▪ Intermittent acting: NPH (given between meals and at midnight

subcutaneous)

▪ Long acting: Lantus (glargine) and Levemir (detemir) Given same time

each day.

▪ Verify insulin with another RN

▪ Give insulin in a fatty area and make sure you rotate spots to avoid tissue

damage

▪ Don’t hold the plunger

o DKA

▪ Ketones present in the urine

▪ When your body uses doesn’t have enough glucose

▪ Have fruity acetone breathe, BS higher than 250mg/dl, and have deep

labored breathing (kussmal)

o HHS:

▪ Type 2 complications

▪ Without ketones

▪ BS usually above 400mg/dl

▪ High risk for myoclonic seizures, reversible paralysis

o Dawn phenomenon (good)

▪ Hyperglycemic in the morning

Powered by qwivy(www.qwivy.org)

 2 / 2

No comments found.
Login to post a comment
This item has not received any review yet.
Login to review this item
No Questions / Answers added yet.
Version 2021
Category Exam (elaborations)
Authors qwivy.com
Pages 5
Language English
Comments 0
Sales 0
Recently viewed items

We use cookies to understand how you use our website and to improve your experience. This includes personalizing content and advertising. To learn more, please click Here. By continuing to use our website, you accept our use of cookies, Privacy policy and terms & conditions.

Processing