Diabetic Emergencies and Altered Mental Status Flash Cards

 
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The feeling that you might be going to pass out? PRE-SYNCOPE OR NEAR SYNCOPE 0 MichaelMorano Thu, 06 Nov 2008 23:35:50 GMT view revision history
A spinning sensation? VERTIGO 0 MichaelMorano Thu, 06 Nov 2008 23:35:50 GMT view revision history
Syncope? FAINTING 0 MichaelMorano Thu, 06 Nov 2008 23:35:50 GMT view revision history
What is the most widely use drug in ischemic stroke patients? CLOT-BUSTING (THROMBOLYTIC)

(PATIENTS MUST MEET VERY SPECIFIC CRITERIA FOR THIS TREATMENT)
0 MichaelMorano Thu, 06 Nov 2008 23:35:50 GMT view revision history
How do you treat an unconscious stroke patient? -MAINTAIN AN OPEN AIRWAY
-PROVIDE HIGH-CONCENTRATIONS OXYGEN
-TRANSPORT ON AFFECTED SIDE
0 MichaelMorano Thu, 06 Nov 2008 23:35:50 GMT view revision history
How do you treat a conscious stroke patient? -CALM AND REASSURE
-MONITOR THE AIRWAY
-ADMINISTER HIGH CONCENTRATIONS OXYGEN
-TRANSPORT
0 MichaelMorano Thu, 06 Nov 2008 23:35:50 GMT view revision history
What are some common signs of a stroke? -CONFUSION
-DIZZINESS
-NUMBNESS, WEAKNESS, PARALYSIS (USUALLY ON ONE SIDE)
-LOSS OF BOWEL OR BLADDER CONTROL
-IMPAIRED VISION
-HIGH BLOOD PRESSURE
-DIFFICULT RESPIRATION OR SNORING
-NAUSEA OR VOMITING
-SEIZURES
-UNEQUAL PUPILS
-HEADACHE
-LOSS OF VISION IN ONE EYE
-UNCONSCIOUSNESS (UNCOMMON)
0 MichaelMorano Thu, 06 Nov 2008 23:35:50 GMT view revision history
What are some very good ways to assess conscious patients for a stroke? -ASK THE PATIENT TO GRIMACE OR SMILE
-ASK THE PATIENT TO CLOSE HER EYES AND EXTEND HER ARMS (FACIAL DROOP)
STRAIGHT OUT IN FRONT OF HER FOR 10 SECONDS (ARM DRIFT)
-SLURRED SPEECH
0 MichaelMorano Thu, 06 Nov 2008 23:35:50 GMT view revision history
Syncope FAINTING 0 MichaelMorano Wed, 05 Nov 2008 02:34:57 GMT view revision history
A transient ishemic attack (TIA) is sometimes referred to as a? MINI STROKE 0 MichaelMorano Wed, 05 Nov 2008 02:34:57 GMT view revision history
The patient can speak clearly, but cannot understand what you are saying, so he will clearly say things that do not make much sense or are inappropriate for the situation? RECEPTIVE APHASIA. 0 MichaelMorano Wed, 05 Nov 2008 02:34:57 GMT view revision history
A general term that refers to difficulty in communication? APHASIA 0 MichaelMorano Wed, 05 Nov 2008 02:34:57 GMT view revision history
While having a stroke, a patient may have a difficulty in using words. This is referred to as? EXPRESSIVE APHASIA 0 MichaelMorano Wed, 05 Nov 2008 02:34:57 GMT view revision history
What is not a reliable sign of injury to the opposite side of the brain? SAGGING OR DROOPING ON THE SIDE OF THE FACE

(THE NERVES THAT CONTROL THE FACE MUSCLES DO NOT NECESSARILY CROSS OVER IN THE SAME WAY)
0 MichaelMorano Wed, 05 Nov 2008 02:34:57 GMT view revision history
Someone with right sided weakness from a stroke has a problem with what side of the brain? LEFT SIDE 0 MichaelMorano Wed, 05 Nov 2008 02:34:57 GMT view revision history
One-sided weakness? HEMIPARESIS 0 MichaelMorano Wed, 05 Nov 2008 02:34:57 GMT view revision history
A hemorrhagic stroke is usually the result of? LONGSTANDING HIGH BLOOD PRESSURE (HYPERTENSION) 0 MichaelMorano Wed, 05 Nov 2008 02:34:57 GMT view revision history
A stroke caused by bleeding in the brain? HEMORRHAGIC STROKE 0 MichaelMorano Wed, 05 Nov 2008 02:34:57 GMT view revision history
Can occur when a clot or embolism occludes an artery or as the result of atherosclerosis? ISCHEMIC STROKE 0 MichaelMorano Wed, 05 Nov 2008 02:34:57 GMT view revision history
A stroke is also referred to as what? CEREBROVASCULAR ACCIDENT (CVA) 0 MichaelMorano Wed, 05 Nov 2008 02:34:57 GMT view revision history
A condition of altered function caused when an artery in the brain is blocked or ruptured, disrupting the supply of oxygenated blood or causing bleeding into the brain? STROKE 0 MichaelMorano Wed, 05 Nov 2008 02:34:57 GMT view revision history
This kind of seizure may go unnoticed by everyone? ABSENCE SEIZURE (PETIT MAL) 0 MichaelMorano Wed, 05 Nov 2008 02:34:57 GMT view revision history
Petit mal seizures usually last for how long? 1-10 SECONDS 0 MichaelMorano Wed, 05 Nov 2008 02:34:57 GMT view revision history
An absence seizure is also called? POSTICTAL PHASE 0 MichaelMorano Wed, 05 Nov 2008 02:34:57 GMT view revision history
This begins when convulsions stop. the patient may regain consciousness and enter a state of drowsiness and confusion, or he may remain unconscious for several hours. Headache is common. POSTICTAL PHASE 0 MichaelMorano Wed, 05 Nov 2008 02:34:57 GMT view revision history
The body jerks about violently, usually for no more than 1 or 2 minutes. The patient may foam at the mouth and drool. His face and lips may become cyanotic? CLONIC PHASE 0 MichaelMorano Wed, 05 Nov 2008 02:34:57 GMT view revision history
The body becomes rigid, stiffening for no more than 30 seconds. Breathing may stop, the patient may bite his tongue, and bowel and bladder control could be lost? TONIC PHASE 0 MichaelMorano Wed, 05 Nov 2008 02:34:57 GMT view revision history
What are the three distinct phases of generalized seizures? -TONIC PHASE
-CLONIC PHASE
-POSTICTAL PHASE
0 MichaelMorano Wed, 05 Nov 2008 02:34:57 GMT view revision history
May involve confusion, a glassy stare, aimless moving about, lip smacking or chewing, or fidgeting with clothing, may appear drunk or on drugs. A COMPLEX PARTIAL SEIZURE 0 MichaelMorano Wed, 05 Nov 2008 02:34:57 GMT view revision history
A partial seizure can develop into what? A TONIC-CLONIC SEIZURE 0 MichaelMorano Wed, 05 Nov 2008 02:34:57 GMT view revision history
Smell, brights lights, a burst of colors, rising sensation in the stomach? AN AURA (a sign of a partial seizure) 0 MichaelMorano Wed, 05 Nov 2008 02:34:57 GMT view revision history
Tingling, stiffening, or jerking in just one part of the body? PARTIAL SEIZURES 0 MichaelMorano Wed, 05 Nov 2008 02:34:57 GMT view revision history
Tonic-clonic seizure was formally called? GRAND-MAL 0 MichaelMorano Wed, 05 Nov 2008 02:34:57 GMT view revision history
A prolonged seizure or when a person suffers two or more convulsive seizures without regaining full consciousness? STATUS EPILEPTICUS 0 MichaelMorano Wed, 05 Nov 2008 02:34:57 GMT view revision history
Is perhaps the best-known of the conditions that result in seizures? EPILEPSY 0 MichaelMorano Wed, 05 Nov 2008 02:34:57 GMT view revision history
Convulsive seizures may be seen with? -EPILEPSY
-STROKE
-MEASLES, MUMPS AND OTHER CHILDHOOD DISEASES
-HYPOGLYCEMIA
-ECLAMPSIA (A SEVERE COMPLICATION OF PREGNANCY)
-HYPOXIA (LACK OF OXYGEN)
-HEAT STROKE (RESULTING FROM EXPOSURE TO HIGH TEMPERATURES)
0 MichaelMorano Wed, 05 Nov 2008 02:34:57 GMT view revision history
What to we call a seizure that occurs during the flu? FEBRILE SEIZURES 0 MichaelMorano Wed, 05 Nov 2008 02:34:57 GMT view revision history
What is the most common cause of seizures in infants and children 6 months to 3 years? HIGH FEVER 0 MichaelMorano Wed, 05 Nov 2008 02:34:56 GMT view revision history
Another name for a seizure? CONVULSIONS 0 MichaelMorano Wed, 05 Nov 2008 02:34:56 GMT view revision history
A sudden change in sensation, behavior, or movement, The most severe form of seizure produces violent muscle contractions called convulsion? SEIZURE 0 MichaelMorano Wed, 05 Nov 2008 02:34:56 GMT view revision history
What is the difference in breath odor of those with hypo/hyperglycemia? HYPERGLYCEMIA-ACETONE BREATH (LIKE NAIL POLISH REMOVER)

HYPOGLYCEMIA-NO ODOR
0 MichaelMorano Wed, 05 Nov 2008 02:34:56 GMT view revision history
What is the difference in skin color between those with hypo/hyperglycemia? HYPERGLYCEMIA-OFTEN HAVE WARM, RED, DRY, SKIN

HYPOGLYCEMIA-COLD, PALE, MOIST, COLD CLAMMY SKIN
0 MichaelMorano Wed, 05 Nov 2008 02:34:56 GMT view revision history
What can occur if little or no sugar reaches the brain? SEIZURES 0 MichaelMorano Wed, 05 Nov 2008 02:34:56 GMT view revision history
What is type 2 diabetes? NON-INSULIN DEPENDENT 0 MichaelMorano Wed, 05 Nov 2008 02:34:56 GMT view revision history
What is another name for type 1 diabetes? JUVENILE DIABETES, SINCE IN TENDS TO BEGIN IN CHILDHOOD 0 MichaelMorano Wed, 05 Nov 2008 02:34:56 GMT view revision history
What is type 1 diabetes? USUALLY INSULIN DEPENDENT, OCCURS IN INDIVIDUALS WITH LITTLE OR NO ABILITY TO PRODUCE INSULIN 0 MichaelMorano Wed, 05 Nov 2008 02:34:56 GMT view revision history
What are some contraindications to giving oral glucose? -UNCONSCIOUSNESS
-KNOWN DIABETIC WHO HAS NOT TAKEN INSULIN FOR DAYS
-UNABLE TO SWALLOW.
0 MichaelMorano Wed, 05 Nov 2008 02:34:56 GMT view revision history
What should you do first before giving oral glucose? TAKE VITALS 0 MichaelMorano Wed, 05 Nov 2008 02:34:56 GMT view revision history
A reading over 120 or 140 indicates? HYPERGLYCEMIA 0 MichaelMorano Wed, 05 Nov 2008 02:34:56 GMT view revision history
A patient with values less than 50 mg/dL will typically have significant alterations in? -MENTAL STATUS
-COMPLETE UNRESPONSIVENESS
0 MichaelMorano Wed, 05 Nov 2008 02:34:56 GMT view revision history
A patient with a mild alteration in mental status or who is diaphoretic is typical of? HYPOGLYCEMIA 0 MichaelMorano Wed, 05 Nov 2008 02:34:56 GMT view revision history
A value of less than what is considered a symptomatic diabetic patient? 60-80 mg/dL 0 MichaelMorano Wed, 05 Nov 2008 02:34:56 GMT view revision history
Why are children more at risk for medical emergencies than diabetic adults? CHILDREN ARE MORE ACTIVE AND MAY EXHAUST MORE BLOOD SUGAR LEVELS BY PLAYING HARD. 0 MichaelMorano Wed, 05 Nov 2008 02:34:56 GMT view revision history
What are some signs of a diabetic emergency? -INTOXICATED APPEARANCE
-STAGGERING
-SLURRED SPEECH
-UNCONSCIOUSNESS
-COLD, CLAMMY SKIN
-ELEVATED HEART RATE
-HUNGER
-UNCHARACTERISTIC BEHAVIOR
-ANXIETY
-COMBATIVENESS
-SEIZURES
0 MichaelMorano Wed, 05 Nov 2008 02:34:56 GMT view revision history
If the patient feels nauseated and has an acetone-like odor on his breath, he is probably experiencing? HYPERGLYCEMIA. 0 MichaelMorano Wed, 05 Nov 2008 02:34:56 GMT view revision history
This condition normally has a slower onset with the patient experiencing increased urination, thirst, and hunger? HYPERGLYCEMIA 0 MichaelMorano Wed, 05 Nov 2008 02:34:56 GMT view revision history
This condition is normally caused by a decrease in insulin? HYPERGLYCEMIA 0 MichaelMorano Wed, 05 Nov 2008 02:34:56 GMT view revision history
You should only administer oral glucose if the patient is what? -CONSCIOUS
-CAN SWALLOW
0 MichaelMorano Wed, 05 Nov 2008 02:34:56 GMT view revision history
What are typical signs of hypoglycemia? -ALTERED MENTAL STATUS
-POSSIBLY UNCONSCIOUSNESS,
-POSSIBLE PERMANENT BRAIN DAMAGE
-RAPID ONSET
-ABNORMAL BEHAVIOR
-VERY SWEATY SKIN
0 MichaelMorano Wed, 05 Nov 2008 02:34:56 GMT view revision history
What is the most common medial emergency for the diabetic patient? HYPOGLYCEMIA 0 MichaelMorano Wed, 05 Nov 2008 02:34:56 GMT view revision history
High blood sugar? HYPERGLYCEMIA 0 MichaelMorano Wed, 05 Nov 2008 02:34:56 GMT view revision history
Low blood sugar? HYPOGLYCEMIA 0 MichaelMorano Wed, 05 Nov 2008 02:34:56 GMT view revision history
This condition is brought about by decreased insulin production or the inability of the body cells to use insulin properly? DIABETES MELLITUS 0 MichaelMorano Wed, 05 Nov 2008 02:34:56 GMT view revision history
A person with high sugar will frequently urinate which in turn will cause the patient to feel? THIRSTY 0 MichaelMorano Wed, 05 Nov 2008 02:34:56 GMT view revision history
High sugar leads to what? INCREASED URINE OUTPUT 0 MichaelMorano Wed, 05 Nov 2008 02:34:56 GMT view revision history
What happens if insulin production decreases? GLUCOSE CANNOT BE USED BY THE CELLS 0 MichaelMorano Wed, 05 Nov 2008 02:34:56 GMT view revision history
The insulin/glucose relationship has been described as what kind of mechanism? LOCK AND KEY 0 MichaelMorano Wed, 05 Nov 2008 02:34:56 GMT view revision history
Blood sugar cannot pass from the bloodstream into the body's cells without? INSULIN 0 MichaelMorano Wed, 05 Nov 2008 02:34:56 GMT view revision history
A hormone produces by the pancreas? INSULIN 0 MichaelMorano Wed, 05 Nov 2008 02:34:56 GMT view revision history
The sugars that a person eats are converted into? GLUCOSE 0 MichaelMorano Wed, 05 Nov 2008 02:34:56 GMT view revision history
This form of sugar is the body's basic source of energy? GLUCOSE 0 MichaelMorano Wed, 05 Nov 2008 02:34:56 GMT view revision history

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