Quiz me Nurse

Rick has a history of Type2 Diabetes Mellitus. His blood glucose has been high and he has Insulin ordered twice a day. It is midnight and he is requesting his wife brings snacks from home. He has an ankle ulcer and gangrene of the big toe. What would Rick's care plan include? - patient and family teaching - blood glucose monitoring - circulation checks and monitoring of wound healing of the affected foot.  PVD ( Peripheral Vascular Disease may complicate Diabetes Mellitus. Patient and family teaching is very important. Patient education and misconceptions There are several misconceptions which a diabetic patient may have.   Patient education  is usually included in the plan of care. What are some common diabetic misconceptions ? Some examples of diabetic misconceptions are listed below: - "I do not believe high blood sugar can affect my vision" - "I need new glasses".  Diabetes and high blood sugar can indeed affect your vision and have many  other...

  Scenario: Tammy is a 19 year old female who was diagnosed with Type 1 Diabetes a year ago. Today she is scheduled for the OR,  to have a  hernia repair . She has not eaten since midnight.( fasting per MD orders).  The nurse forgot to hold her Insulin as ordered by MD. She gave her 10 units of Regular  Insulin. Tammy is now hypoglycemic. She is feeling weak  and shaky, she calls the nurse. Assessment : The nurse arrived  and did an assessment . She noticed Tammy was anxious  and shaky. She was also diaphoretic (sweating excessively). Intervention: The nurse checked the blood glucose by finger stick and noted a result of 58. She checked the doctor's sliding scale orders and gave Tammy 4oz of apple juice.  She then notified the doctor as ordered and documented her intervention. An example only : See an example of a sliding scale for finger stick values above along with their  suggested treatments. Please note...

What are some misconceptions about Diabetes? Patients who receive insulin should be advised it is not a cure! It is important  to educate patients about the correct way to manage the use of insulin and follow  the doctor's instructions.   What is DKA? DKA stands for Diabetic Ketoacidosis . Learn more about this topic by clicking on the link: Sessions 41

What is a CABG? CABG stands for Coronary Artery Bypass Graft. A CABG is not a virtual cabbage. CABG (pronounced cabbage) is a surgical procedur e done to improve the heart's circulation in a patient with CAD (coronary artery disease) How is a CABG done? A blood vessel (an artery or vein) is taken from another part of the body and used to reroute blood (bypass the blocked vessel) to the heart. An artery or vein from the leg or chest is typically used. What are some common symptoms of CAD? Patients who have severe CAD will experience symptoms such as: - Chest pain - Shortness of breath - Dizziness - Hypotension Why do these symptoms occur? This is due to a lack of blood flow in the blood vessels caused by a clot or plaque. The decrease in blood supply results in insufficient oxygen to the heart muscle.   Scenario: Tim was brought to the ER in respiratory distress. He has a previous history of MI and CHF. He also had a CABG done 1 year ...