DIABETES MELLITUS CROSSWORD PUZZLE

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Across
  1. 4. Risk for ___________ skin integrity related to failure to rotate insulin injection site.
  2. 6. You are mixing a combination of insulins. You need 10 ml of insulin. You have already pulled up 3 ml of regular insulin, how much of the NPH do you need to pull up in your syringe?
  3. 7. The pancreas produces ___ which increases plasma glucose levels. It is also administered for severe hypoglycemia.
  4. 9. ___ dysfunction patients are at greater risk for hypoglycemia using meglitinides.
  5. 11. You are educating a very petite and skinny young woman on how to inject herself with insulin. You show her that she needs to ______ her lower abdomen and inject herself with the needle at 45 degrees to ensure that she is getting the insulin in her subcutaneous tissue.
  6. 14. A 19 year old male who has had diabetes for 2 years comes in with a raised lump on his lower abdomen. You ask him if this is the spot that he normally injects himself with insulin. He replies that this is the only place he injects himself twice a day. The raised lump is called what?
  7. 16. HOURS You administer NPH insulin to a patient. How long before this type of Intermediate insulin starts to peak?
  8. 19. A new admit that has Type 11 diabetes is put on your floor. She says she if very hungry and would like to eat something soon. What type of insulin would you administer to her if she was to eat in the next 30 minutes.
  9. 20. The actions of these hormones tell your body to release insulin after you eat.
  10. 21. SCALE You have a patient that just came out of surgery who is a type II diabetic. Her blood glucose in the last three hours has not been stable. Your decide that it is best to follow the ___________ ___________ protocol and administer adjusted doses of insulin based off of her blood glucose reading every shift.
  11. 22. An overdose of insulin may lead to your patient falling into a __________.
Down
  1. 1. The FDA warns that due to this drug's ability to complement the effects of insulin, it increases the risk of insulin-induced severe hypoglycemia.
  2. 2. A patient comes in and is very worried about injecting herself with insulin due to fear of needles. She lives a very busy lifestyle of work and travel. She is curious if there are any other methods than using the Lantus pen she is prescribed. You would educate her on the idea of an Insulin _______.
  3. 3. It is the start of your shift and you give one of your patients a shot of Humalog insulin. In how many hours do you expect to be returning to said patient to give the next shot.
  4. 5. The process in the previous question interacts with oral drugs by effecting their ___.
  5. 8. A 16 year old female with type II Diabetes comes into the office very concerned about how her stomach looks. You find that she has been misinformed and has been injecting herself with insulin in the same spot (lower abdomen) every day. You assess her stomach and find that her stomach is pitting in the injection spot. What do you educate her on?
  6. 10. A 76 year old female comes into the ED. Her daughter who is with her tells you that the she has not been eating regularly at her nursing home. Her daughter says she skipped breakfast this morning and believes did not eat much for dinner the night before. Your patient is very fatigued and anxious, has a fast heartbeat and is sweating profusely. You take her blood sugar and it is 47 mg/dL. You would chart your patient as?
  7. 12. Which route would you administer the insulin of the 26 year old male who is hypoglycemic.
  8. 13. A result of insulin deficiency.
  9. 15. Many DM drugs inhibit or suppress ___ release of glucagon by delaying gastric emptying.
  10. 17. A 26 year old male comes into the ED. He is very lethargic and very disoriented. You take his blood sugar and find that he is hypoglycemic. What type of insulin would you administer?
  11. 18. Ketoacidosis causes alterations in the metabolism of both glucose and what?
  12. 21. Ketoacidosis, if untreated, may result in _____.