Nursing
3 years ago
10
insulinmatchuphybridversionCLINICAL.docx
CLINICALREVERSE.docx
insulinmatchuphybridversionCLINICAL.docx
Diabetes Mellitus Medications
Insulin
Type Name Onset Peak Action Duration
Rapid Acting
Insulin
Short Acting
Insulin
Intermediate
Acting Insulin
Long Acting
Insulin
Ultra Long
Acting Insulin
Option Bank:
30-90 min 36+hrs 3-5 hrs 15-30 min 5-7 hrs Peakless 1-2 hrs
2-3 hrs No Peak 6 hrs 24 hrs 30-60 mins 1 hr 4-6 hrs
14-24 hrs
Glargine (Lantus)/Detemir (Levemir Glargine u-300(Toujeo)
Insulin Isophane/Humulin N/ Novolin N Regular Insulin/Humulin R/Novolin R
Human insulin/ lispro (Humalog)/Novolog
CLINICALREVERSE.docx
Match the Medication Ending to the Drug Class bank available at the bottom. We will review the answers.
Medication Ending
-alol
-ase
-azepam
-bactam
-caine
-cilin
-conazole
-cycline
-dralazine
-flurane
-lukast
-mantadine
-mycin
-olol
-olone
-oxacin
-parin
-peridol
-poetin
-pril
-sartan
-sulfa
-thiazide
-vastatin
-vir
Drug Class
HMG-CoA inhibitors
Local Anesthetics
Antibiotics
Beta blockers
Angiotensin II receptor blockers
Steroids
Antivirals
Beta blocker or alpha blocker
Inhalation Anesthetic
Antihypertensives
ACE inhibitors
Thiazide Diuretics
Erythropoietin
Antipsychotics
Heparin
Antibiotics
Antivirals
Antibiotics
Leukotriene receptor antagonists
Antibiotics
Antifungals
Penicillin
Beta-lactamase inhibitor
Antianxiety
Enzymes
Urinary System:
Youtube: uti https://www.youtube.com/watch?v=3kNXIaAmUSc
https://www.youtube.com/watch?v=CPNnMnhMC6c
https://www.youtube.com/watch?v=V7zhGBsfcp8
Normal Urine Output:
If an adult drinks 2 liters of fluid a day, normal urine output in 24 hours would be 800-2,000 ml/day
30 ml/hr is the minimum. < 30ml/hr is abnormal
What would cause a abnormal urine output?
What could cause polyurina?
24 hr Urine Collection-How is it collected?
Urinalysis
1. Random sample- yellow/ clear
1. No:
1. WBC
1. RBC
1. Protein
1. Sugar
(woman on menstrauel cycle may have some rbcs present. )
Urine dipstick checks: for the following items, please list what each item could indicate wrong with the kidneys. This website may help you: https://www.mayoclinic.org/tests-procedures/urinalysis/about/pac-20384907#:~:text=Either%20nitrites%20or%20leukocyte%20esterase,indicate%20a%20urinary%20tract%20infection.
Acidity:
Concentration :
Protein:
Sugar:
Ketones:
Bilirubin:
Nitrites:
Leukocyte:
Blood:
UTI:
Presenting Symptoms?
What will the urinalysis show in a patient with a UTI?
What are some medications that might be prescribed for UTI?
What are some nursing interventions for a client with a uti?
Renal Calculi “Kidney Stone”
Youtube: https://www.youtube.com/watch?v=RTBXMUGHnSg
What is a kidney stone? It is a stone or calculi found in the urinary tract or kidney.
What causes it?
Types
|
Calcium phosphate/calcium oxalate |
Uric Acid |
Struvite (magnesium ammonium phosphate) |
Cystine |
|
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Why does it form?
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Why does it form?
|
Why does it form?
|
Why does it form?
|
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Causes? Hypercalemia, hypercalciuria, hyper parathyroidism, Increased intake of sodium, dehydration, gi disorders, Increased intake of calcium supplement with vit d. |
Causes?
Gout, foods high in purine or animal proteins, dehydration, metabolic issues (DM) |
Causes? Chronic urinary tract infections (UTIs), foreign bodies, neurogenic bladder |
Causes?
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Signs and Symptoms? Slides 13-14 in powerpoint can help answer these …
*Common site of obstruction is Ureteropelvic junction (UPJ)
Diagnostic Studies?
Treatment? Pg 15 in power point.
Pain meds?
Meds?.
Patient teaching: pg 17 in powerpoint.
Kidney Stones
Picture from: https://www.urologyhealth.org/urology-a-z/k/kidney-stones
Resources:
https://www.saintlukeskc.org/health-library/anatomy-pediatric-urinary-tract
https://www.bensnaturalhealth.com/blog/normal-urine-output/