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fasting blood glucose levels
normal
pre diabetes
diabetes
70-100 mg/dl
101-125 mg/dl
126 mg/dl
A1C test
how many times is it monitored?
for diabetes by checking sugar on red blood cells to get an average glucose level over several months
- twice
A1c levels
normal
pre diabetes
diabetes
less than 5.7%
5.7 % to 6.4 %
6.5% or higher
4 types of insulin
rapid acting
short acting (reg)
intermediate acting
long acting
ultra acting
onset, peak, duration
- rapid acting insulin
onset= 10-15 min
peak= 30-90 min
duration= 2-4 hours
rapid acting insulin 3 types
lispro (Humalog, admeolog)
aspart (fiasp, Novolog)
glulisine (apidra)
short acting insulin type
regular insulin (humblin, novolin, velosulin)
onset, peak, duration
short acting insulin
onset 30 min
peak 2-3 hrs
duration - 3-6 hrs
long acting insulin type
detemir (levemir)
glargine (basaglar, Lantus)
onset peak duration
long acting
onset - 2-4 hrs
peak - doesnt
duration - up to 24 hrs
ultra long lasting insulin
deludec (tresiba)
glargine (toujeo)
onset peak duration
ultra long
onset - 6 hours
peak - doesn't
duration - 36 hours
insulin / antihyper/ opioids = mech of action, therapeutic effects, adverse responses
blood pressure normal
elevated
120/ 80
120-129 / 80
blood pressure 1
2
3
130-139 / 80-89
140 /90
180 / 120
orthastic hypotension
20 mmhm difference
after 5 min
kg = lbs
oz = lb
1 kg = 2.2 lbs
16 oz = 1 lb
tsp = ml
tbsp = ml
oz = ml
liter = ml
1 tsp = 5 ml
1 tbsp = 15 ml
1 oz = 30 ml
1 liter = 1000 ml
ratio proportion
have = know/want
4 mg/ 1 tab = 6 mg
need 1.5 tablets
D/H x V
amount to give
d - derided dose
h - dose on hand
v - tablet/liquid
1 grain - mg
3/4 - mg
1/2 - mg
1/4 - mg
1/6 - mg
60 mg
45
30 mg
15
10 mg
decimal placement
smaller - larger
larger - smaller
left
right
meds rights
right patient
right medication
right dose
right time
right route
right documentation
right reason
right education
right to refuse
right assessment
abbreviations
ivp
gtt
gr
ac
hs
nsr
is
scd
npsg
intravenous push
drop
grain
before meals
hour of sleep
normal sinus rhythm
incentive spirometer
sequential compression device
national patient safety goals
adult bp
hr
rr
temp
90-120 / 60-80
60-100
12-20
96.8 - 100.4 F (36 - 38 C)
White blood cells
Platelet count
5-10 x 10^9L
150-400 x 10^9L
women
RBC
Hemoglobin
Hematocrit
3.5 - 5.5 x 10^6
12.0 - 16.0
36% - 48%
men
RBC
hemoglobin
hematocrit
4.0 - 5.5 x 10^6
14.0 - 18.0
42% - 54%
glucose
sodium
potassium
co2
cl
bun
cr
70 -100
135-145
3.5 - 5.0
23-30
96-106
6 - 20
0.6 - 1.2
calcium
alk phos
alt
ast
bilirubin
albumin
protein
9 - 10.5
30 - 120
10 -40
0-35
0.3 - 1
3.5 -5.0
6.4 - 8.3
partial prothrombin
prothrombin time
International normalized ratio
- ability to clot
- determines if blood thinning
- ensures that results from a PT test are the same from one lab to another
aptt - longer - intrinsic
pt - extrinsic
inr
60-70 seconds
11 - 12.5 seconds
0.8 - 1.1