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Outline | Approved: 7 years ago | 141.5 kB | Comments: 0
...and use of insulin Type 1 absolute... ...absolute deficiency of insulin Type 2 relative... ...relative deficiency of insulin Obesity ( state... ...from defects in insulin secretion, insulin action,... ...in insulin secretion, insulin action, or both... ...Beta cells ( insulin ( facilitates movement... ...both glucagon and insulin Blood glucose homeostasis... ...all tissues require insulin from glucose uptake... ...through actions of insulin and glucagon See... ...deficit of circulating insulin Pathophysiology and etiology... ...the pancreas ( insulin no longer produced... ...from lack of insulin to transport glucose... ...enter cell without insulin ( energy production... ...DM require exogenous insulin See CLINICAL MANIFESTATIONS... ...( results from insulin resistance with a... ...defect in compensatory insulin secretion Pathophysiology and... ...availability of endogenous insulin Function of insulin... ...insulin Function of insulin impaired by insulin... ...insulin impaired by insulin resistance Etiology Can... ...absolute deficiency of insulin and increase in... ...and increase in insulin counterregulatory hormones Glucose... ...0.45 saline Regular insulin used Electrolyte imbalance... ...glucose levels with insulin Admit to ICU... ...replace losses Administering insulin to reduce blood... ...type 2 DM Insulin reaction ( mismatch... ...( mismatch between insulin intake, physical activity,... ...transmits data to insulin pump Equipment needed... ...meter Pharmacologic therapy Insulin See CLIENT TEACHING... ...CLIENT TEACHING TAKING INSULIN TO MANAGE DIABETES... ...exogenous source of insulin hormone Not cure... ...or parenteral nutrition Insulin derived from animal... ...( biosynthetic human insulin Available in rapid-acting,... ...See Table 124 INSULIN PREPARATIONS, p. 754... ...PREPARATIONS, p. 754 Insulin lispro (Humalog) (... ...use of longer-acting insulin product Less likely... ...likely than regular insulin to cause tissue... ...tissue changes Regular insulin ( short-acting insulin,... ...insulin ( short-acting insulin, clear ONLY INSULIN... ...insulin, clear ONLY INSULIN THAT CAN BE... ...1 DM NPH insulin ( buffers, protamin... ...when properly mixed Insulin glargine ( 24-hour,... ...long-acting rDNA human insulin analog, treat both... ...with other insulins Insulin dispensed as 100... ...in cases of insulin resistance Nursing implications... ...121 MEDICATION ADMINISTRATION INSULIN, p. 754 All... ...used in continuous insulin infusion (SCII) devices... ...(SCII) devices ( insulin pumps Type 2... ...morbidity with intensive insulin therapy versus regular... ...therapy versus regular insulin therapy Decreases risk... ...hospital stays Intravenous insulin infusions ( maintain... ...4 weeks Regular insulin ( no mixing... ...126 SITES OF INSULIN, p. 756 Do... ...sites repeatedly, refrigerated insulin Hypoglycemic agents Used... ...stimulating or increasing insulin secretion, preventing breakdown... ...food intake with insulin and oral glucose... ...acute complications of insulin-treated DM, short-term illnesses,... ...hypoglycemic effects of insulin, oral agents Signs... ...take the usual insulin dose or oral... ...before breakfast, when free-insulin levels tend to... ...at a peak insulin action time may... ...screening, glucose monitoring Insulin in pre-, intra-,... ...intermediate- or long-acting insulin given day of... ...of surgery regular insulin given with IV... ...intermediate- or long-acting insulin given before surgery,... ...daily dose of insulin is divided into... ...doses of regular insulin ( one dose... ...IV glucose and insulin infusion Schedule procedure... ...glucose Medications ( insulin, oral agents Manifestations... ...deficits may make insulin administration difficult or... ...make adjustments in insulin if dental surgery... ...HEMOGLOBIN, p. 770 Insulin See Table 127... ...Table 127 RECOMMENDED INSULIN DOSES FOR CHILDREN,... ...family history, ethnicity, insulin resistance, puberty Clinical... ...diet and exercise Insulin may precede metformin... ...( thyroid hormone, insulin, lepton Risk factors... ...increases risk of insulin resistance and type...
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