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4680037
Nursing -DM
Descripción
Type II Diabetes
Sin etiquetas
nursing
dm
typeii
Mapa Mental por
becca.cote
, actualizado hace más de 1 año
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Menos
Creado por
becca.cote
hace alrededor de 8 años
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Resumen del Recurso
Nursing -DM
Nota:
Image from: http://www.reviewsmemo.com/frequently-asked-questions-on-type-2-diabetes/
STATISTICS
Life expectancy 5-10 yrs shorter
Cost healthcare system $11.7 billion in 2010
90% of cases are Type II
Aboriginals: 3-5x higher risk
Worldwide: 285 million people with DM
80-90% overweight
PATHOPHYSIOLOGY
CHANGE IN ADIPOKINES PRODUCTION
Adipokines Alter Glucose & Fat Metabolism
Main Types: Adiponectin & Leptin
HAPHZARD GLUCOSE RESPONSE BY LIVER
Increased Glucagon from α-cells
Stimulates Liver Glucose Production
Increased Blood Sugar
Not a 1° Development Factor
β-CELL ISSUE
β-cells fatigue
Decreased Ability of Pancreas to Produce Insulin
β-cell mass lost
INSULIN RESISTANCE
Issue with GLUT4 Receptors
Unresponsive
Hyperglycemia
Low Numbers
See video: https://www.youtube.com/watch?v=RlLrvnnTDDU
ONSET
GRADUAL
Years without Detection
Osmotic Fluid & Electrolyte Loss
Hyperosmolar Coma Risk
SIGNS & SYMPTOMS
Type I Sympoms
Polyuria
Polydipsia
Polyphagia
Visual Changes
Fatigue
Prolonged Wound Healing
Recurrent Infection
Increased Hunger
Weight Loss
SCREENING
NO RISKS
Every 3 yrs after 40 yrs
RISKS
More frequently
Family Hx
Impaired Fasting Glucose or Tolerance
High-Risk Ethnicity
Aboriginal
Hispanic
South Asian
Asian
African
Hypertension
Overweight
Gestational Diabetes Hx
Sedentary Lifestyle
Metabolic Syndrome
FBG METHOD
DIAGNOSIS
HEMAGLOBIN A1C
Recommended by CDA
Check A1C 2-4x a Year
DM: A1C ≥6.5%
Prediabetes: 5.7-6.4%
FASTING PLASMA GLUCOSE
No Caloric Intake for 8 hr
DM: FPG ≥ 7 mmol/L
Prediabetes: 5.6-6.9 mmol/L
RANDOM PLASMA GLUCOSE
DM: ≥ 11.1 mmol/L
Plus Classic Type I Symptoms
ORAL GLUCOSE TOLERANCE TEST
DM: OGIT ≥ 11.1 mmol/L
Prediabetes: 7.8-11.0 mmol/L
PREVENTION
Eat a Healthy Diet
Less fat
DASH Diet
Monitor/Lower BP and Cholesterol
NURSING ROLE
ASSESSMENT
Past Health Hx
Obesity
Hunger
Weight Loss
Thirst
Poor Healing
PLANNING
Active Participation
Lifestyle Changes
Prevent Chronic Complications
Maintain Normal Blood Glucose Levels
INTERVENTION
Health Promotion
Identification
Monitoring
Patient Education
Especially Foot Care
Stress Management
Caregiver Teaching
EVALUATION
Tx Plan Effectiveness
Patient Knowledge
Nutrition /Activity Balance
Hypoglycemia Management
Safety
TREATMENT & MANAGEMENT
HEALTHY EATING
Low Glycemic Index Foods
Less Salt
20-35g of Fibre/Day
Check Nutrition Labels
Balanced Diet (ie. DASH)
Reduce Caloric Intake
Low-Fat Foods
EXERCISE
Benefits
Increase GLUT4 Rc Sites
Lowers Blood Glucose
Weight Loss
Tips
Before Meals
Individualized
Small Snacks Every 30 min
Monitor BG Before, During, After
DRUG THERAPY (if severe)
Insulin
Oral Agents
1. Sulphonulureas
2. Meglitinides
3. Biguanides
4. α-Glucosidase Inhibitors
5. Thiazolidinediones
SELF BLOOD SUGAR MONITORING
COMPLICATIONS
CHRONIC
Infection
Skin Complications
Lower Extremity/Foot Complications
Diabetic Neuropathy
Macrovascular Angiopathy
Microvascular Angiopathy
ACUTE
Diabetic Ketoacidosis
Profound Insulin Deficiency
More Common in Type I
Hyperosmolar Hyperglycemic Syndrome
Most Common in Type II Over 60 yrs
Life Threatening
Hypoglycemia
Blood Glucose < 4 mmol/L
Recursos multimedia adjuntos
00144f5b-c63f-42da-baa8-4f6f5a2b4a11 (image/jpg)
70e29202-f8f1-4a87-af6f-f127be14d112 (image/jpg)
0e2ac14c-2226-4120-9213-93bb58d31433 (image/jpg)
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