HTHS 1120 Module 5 Diabetes

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Endocrine functions of pancreas

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51 Terms

1

Endocrine functions of pancreas

insulin and glucagon production

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2

Exocrine functions of pancreas

digestive enzyme production

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3

Beta Cells

insulin producing cells of the pancreas

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4

Alpha cells

glucagon producing cells of the pancreas

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5

Glucagon

hormone that raises blood glucose

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6

Insulin

hormone that lowers blood glucose

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7

Normal blood pH

7.35-7.45

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8

Alkaline blood pH

7.50

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9

Acidic blood pH

7.30

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10

organomegaly

enlargement of visceral organs

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11

hypoglycemia

low blood glucose

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12

hyperglycemia

high blood glucose

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13

insulin

hormone that lowers blood glucose

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14

hypertension

high blood pressure

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15

hypotension

low blood pressure

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16

hypoglycemia symptoms

anxiety, confusion, seizure, sweating

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17

hyperglycemia symptoms

increased urination, thirst, hunger

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18

Joe gave too much insulin at lunch for the amount of food he ate. What condition may result from this?

hypoglycemia

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19

Arterial Blood Gases

pH, O2, CO2, HCO3

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20

blood glucose test

most useful test in diagnosing type 1 diabetes

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21

electrolytes

Na, K, Cl, HCO3

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22

blood pressure

measures the maximum and minimum forces from the heart on blood vessels

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23

urine ketones

Present in diabetic ketoacidosis

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24

chemical tests used to diagnose kidney function

BUN, creatinine

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25

Systolic blood pressure

maximum force on blood vessels from a pumping heart

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26

Diastolic blood pressure

minimum force on blood vessels from a resting heart

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27

As a physician, which of the following treatment protocols would be the most successful in treating type 1 diabetes mellitus?

Diet, exercise, frequent blood testing, and insulin therapy

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28

Dietician

Develop a meal plan that reflects the eating habits of the planet

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29

Pediatrician

Physician that treats children and is often the first physician consulted with a child with type 1 diabetes

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30

Endocrinologist

Specialist in diagnosing and treating hormone disorders

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31

Nurse educator

teaches families about diabetes care

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32

Social worker

Teaches coping skills to the patient and family

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33

clinical laboratory scientist

Performs blood and urine testing

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34

respiratory therapist

Responsible for arterial blood gas testing

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35

nurse

administers intravenous solutions and medications for hospitalized patients

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36

3 functions of the kidneys

a. Filter blood to remove waste products and help maintain substances necessary to the blood. b. Help control blood pressure c. Synthesize vitamin D

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37

What are some substances detected by a urinalysis?

Cells including RBC's and WBC's Bacteria Chemicals including glucose pH concentration

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38

What 2 methods are used when performing a urinalysis?

Urine dipstick Microscopic exam

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39

Electrolytes abnormalities

Sodium. Dehydration, heart or kidney abnormalities. Potassium. Vomiting or diarrhea. Increased in kidney failure. Chloride. Abnormal changes occur with changes in sodium level. Bicarbonate. Changes with problems in acid/base balance.

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40

Why would a physician order an ABG?

to detect changes in the patient's acid-base balance in the blood, can detect respiratory conditions or disease, kidney function (metabolic), and to monitor oxygen therapy

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41

type of blood used for ABG

Arterial, contains oxygenated blood

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42

Untreated high blood pressure may lead to what diseases?

Heart disease, kidney disease, stroke

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43

Why do individuals with untreated type I diabetes go into a state of ketoacidosis?

Insulin need glucose to enter cells, when cells don't receive energy from carbohydrate breakdown, body breaks down fat as a secondary energy source, releasing ketone bodies, making blood acidic

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44

What are common symptoms of DKA?

frequent urination and thirst, weight loss, increased appetite, fatigue, nausea, vomiting, muscle stiffness, mental stupor, hyperventilation, fruity breath

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45

What is the most common cause of diabetes in children?

Destruction of the insulin-producing beta cells of the pancreas by the body's own immune system

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46

diabetes symptoms

Excessive thirst, frequent urination, weight loss

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47

What is the cause of each symptom?

Cells cannot get glucose, glucose levels rise in the bloodstream because it is not transported into the cells. The kidneys flush extra water out, trying to get rid of the excess glucose. This causes dehydration, excessive urination, and excessive thirst. the body breaks down fat stores for energy and weight loss occurs.

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48

How is diabetes diagnosed?

Increased glucose levels in the blood and urine. Ketone bodies are present in the urine in cases of diabetic ketoacidosis.

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49

In what ways is a nurse educator different than a traditional registered nurse?

A nurse educator specializes in nursing education. Typically a nurse educator has a masters or doctorate degree.

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50

What type of patient would an endocrinologist treat?

patients with diseases that affect hormone-producing glands

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51

Where is the pancreas located?

curve of duodenum (first part of Small Intestine)

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