t*****0
发帖数: 264 | 1 37. An appropriate nursing dx for a client with Addison's disease would
include which of the following assessment
1. Risk for injury
2. Exess fluid vol
3. ineffective thermoregulation
4. imparied gas exchange
48. WIch of the following disease process is caused by an absence of insulin
or inadequate amt of insulin, resulting in hyperglycemia and leading to a
series of biochemical disorders?
1. diabetes insipidus
2. hyperadldosteronism
3. Diabetic ketoacidosis
4. HHNS ( hyperglyceic for type 2 dm) |
j**y
发帖数: 417 | |
x****i
发帖数: 169 | |
l****j
发帖数: 60 | |
t*****0
发帖数: 264 | 5 book gave 1 and 3, but I have some arguement on the 3 for 48.
I remember that type 1 is the insulin dependent which means pt don't secret
insulin at all. Since the question was talking about not enough insulin
secretion. I think it should be Type 2 and it won't cause ketone acidosis.
How you guy/gals think about the ans to 48? |
x****i
发帖数: 169 | 6 like Toddf70, I know Type 1 DM (absence of insulin) might cause Diabetic
ketoacidosis; Type 2 DM (not enough of insulin) might cause HHNS. If No.3 is
the right choice, how about the No.4? That's why I pick No.1 instead, hehe |
t*****0
发帖数: 264 | 7 I choosed 4 for that one, cause type 1 is also called IDDM (insulin
dependent DM), it'll go to ketoacidosis when B.S. level is still around 400.
And type 2 (NIDDM) can secrete enough insulin to keep pt our of keto state.
choice 1 was out of the discussion because it is nothing involved with
hyperglycemia condition. :)
is
hehe
【在 x****i 的大作中提到】
: like Toddf70, I know Type 1 DM (absence of insulin) might cause Diabetic
: ketoacidosis; Type 2 DM (not enough of insulin) might cause HHNS. If No.3 is
: the right choice, how about the No.4? That's why I pick No.1 instead, hehe
|
c*****g
发帖数: 126 | 8 1&3
37. lacking aldosterone--> orothostatic hypotenison--> risk for fall.
48. Diabetic ketoacidosis is maily caused by type 1 DM, but can also be
caused by type II. Thus, lack of insulin or not enough insulin. As for HHNS,
only type II causes it, not type I. Diabetes insipidus is caused by lack of
ADH, has nothing to do with insulin. |
t*****0
发帖数: 264 | 9 ehhh, I seriously questioned that the NIDDM could get Ketoacidosis.
Well, I'll write a letter to my instructor and seee what she says.
HHNS,
of
【在 c*****g 的大作中提到】
: 1&3
: 37. lacking aldosterone--> orothostatic hypotenison--> risk for fall.
: 48. Diabetic ketoacidosis is maily caused by type 1 DM, but can also be
: caused by type II. Thus, lack of insulin or not enough insulin. As for HHNS,
: only type II causes it, not type I. Diabetes insipidus is caused by lack of
: ADH, has nothing to do with insulin.
|
c*****g
发帖数: 126 | 10 O_o. That's our instructor told us when we were learning DM. I remember saw
it somewhere in the textbook. I am in school now, will find it out later
when I go home if I remember.
【在 t*****0 的大作中提到】
: ehhh, I seriously questioned that the NIDDM could get Ketoacidosis.
: Well, I'll write a letter to my instructor and seee what she says.
:
: HHNS,
: of
|
w*********s
发帖数: 21 | 11 我基本同意小烦的看法。补充一点：type 2 diabetes产生的原因是基于周围组织对
insulin的不敏感（主要是肌肉和脂肪组织的insulin resistent）, 而不是insulin的
多少。题目问的是由于insulin的量产生的影响，应该就是说type 1 diabetes。 另外
，type 1 diabetes 是由于胰腺β细胞坏死退化，insulin产生急剧减少，但是并不一
定是0。 |
t*****0
发帖数: 264 | 12 有道理，多谢拉。
【在 w*********s 的大作中提到】
: 我基本同意小烦的看法。补充一点：type 2 diabetes产生的原因是基于周围组织对
: insulin的不敏感（主要是肌肉和脂肪组织的insulin resistent）, 而不是insulin的
: 多少。题目问的是由于insulin的量产生的影响，应该就是说type 1 diabetes。 另外
: ，type 1 diabetes 是由于胰腺β细胞坏死退化，insulin产生急剧减少，但是并不一
: 定是0。
|
j******g
发帖数: 33 | 13 Agree. This explanation makes sense.
【在 w*********s 的大作中提到】
: 我基本同意小烦的看法。补充一点：type 2 diabetes产生的原因是基于周围组织对
: insulin的不敏感（主要是肌肉和脂肪组织的insulin resistent）, 而不是insulin的
: 多少。题目问的是由于insulin的量产生的影响，应该就是说type 1 diabetes。 另外
: ，type 1 diabetes 是由于胰腺β细胞坏死退化，insulin产生急剧减少，但是并不一
: 定是0。
|
