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Related Flashcards
Cards In This Set
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During the 1st half of pregnancy of women w/DM what occurs with the insulin
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Increases in production and there is an increase in response to insulin due to increase in hormones of placenta.
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What causes the increase in insulin resistance and increase in glucose tolerance during the 2nd 1/2 of preg.
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An increase in HPL, prolactin, and cortisol
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Why does ketoacidosis occur?
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When mother is fasting, da circulating glucose & CH2O are absorbed by the placenta causing the mother's body to use her fat as an energy source.
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When should a woman be screened for DM
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24-28weeks
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What insulin is used w/GDM
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Fast acting lispro and humalog
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Risk to mother of DM
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*preeclampsia R/T vascular changes
*maternal retinopathies
*vaginitis, UTI, yeast infections R/T high glucose levels.
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Risk of fetus in DM
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*macrosomia *hydramnios *IUGR *hypoglycemia *Respiratory distress *ketoacidosis *cogential anomalities *polycythemia *hyperbilirubemia
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When does GDM occur and why?
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2nd-3rd trimester. HPL
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What test is done for GDM
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1hr GTT w/50g of glucose. If results are more than 140, further testing is required.
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What are the S/S of hypoglycemia?
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*Diaphoresis *Pallor,clammy skin *hunger *headache *blurred vision *disorientation *tingling
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What are the S/S of hyperglycemia?
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*Poly-uria,dipsia,phagia. *Dry mouth *fatigue *nausea *rapid breathing *cramps
*hot flushed skin *acetone breath
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What are levels of glucose should be maintained for pt. w/DM
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70-100mg/dL before eating or taking insulin
120mg/dL 2hrs after eating
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What is the recommended drug w/pt. who has HIV?
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Zidovudine
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When should a C/S be implemented w/an HIV infected mother?
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@38wks if viral load is less than 1000.
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What is the suggested cause of hyperemesis gravidarum?
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Elevated HCG/estrogen
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