Across
- 2. Insulin will cause shift this electrolyte into the cells along with glucose; the normal range for this electrolyte is 3.5 – 5.0 meq/L.
- 4. This biguanide is commonly used as first-line therapy for persons with type-2 diabetes, but is temporarily stopped when patients are hospitalized due to decreased metabolism or the drug in the presence of IV contrast dye and potential for damage to the kidneys.
- 5. This long-acting insulin also known as Glargine, does not have a profound peak and has a duration of 24 hour. It is not to be mixed with any other insulin.
- 6. This medication is used to manage hypothyroidism, and is best taken on an empty stomach first thing in the morning.
- 8. This intermediate-acting insulin has an onset of 1 ½ hours, peak in 6-8 hours, and duration of 22 hours.
- 9. This lab value shows blood glucose control over the life-span of the RBC molecule, which is approximately 120 days (3-4 months), and target goal for persons with diabetes is 7% or below.
- 11. Polyuria, polydipsia, and polyphagia are symptoms of this abnormality associated with poorly managed diabetes.
- 14. This short-acting insulin also known as Humulin has a peak of 2-4 hours, has an onset of ½ - 1 hour, and duration of up to 8 hours.
- 16. Diabetic ______________ is a complication of diabetes requiring IV insulin (Regular), more often of type-1, where patients present with very high blood glucose levels, ketones present in the blood and urine, and often a fruity smell to the breath due to acidosis.
- 17. Common signs and symptoms of this endocrine abnormality include intolerance to cold, slowed bowel mobility, depression.
Down
- 1. A patient with hypoglycemia who is ___________ or unable to eat or drink safely would receive IV Dextrose 50% (D50W) or glucagon IV, IM or SQ.
- 3. This type of insulin order bases the amount of insulin a patient receives on the blood glucose level, is intended to “correct” the current blood glucose, and is not held if the patient is NPO.
- 7. Upon assessment the nurse finds a patient confused, with tremors and cool clammy skin which may be indicators of _________________.
- 10. This class of medication often given to suppress the inflammatory or immune response is known to elevate blood glucose levels, potentially requiring temporary insulin administration.
- 12. This insulin also known as Humalog is a rapid acting SQ insulin which peaks an hour after administration (30-90 min), onset within 15 minutes of administration, and duration of 4-5 hours.
- 13. The normal range for this common electrolyte is 135 – 145 meq/L.
- 15. The redistribution of adipose tissue occurring when SQ insulin injection sites are not rotated.