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Administering Medication
Administering Medication

... Medication Administration— Parenteral Preparing Insulin Therapy When preparing U-100 insulin, use a U100-unit-scaled syringe.  Always have a second nurse double-check insulin for right drug, dose, etc. ...
intravenous heparin administration orders
intravenous heparin administration orders

... Use a discard tube to clear the dead air from in the butterfly vacutainer collection system or the needle vacutainer collection system. Once blood is present in the discard tube- thus cleared the vacutainer system, remove the discard tube and begin to draw the blood samples into the vacutainer tubes ...
circulating sclerostin levels and bone turnover in type 1 and type 2
circulating sclerostin levels and bone turnover in type 1 and type 2

... and equipment,-reference databases are different and use different averages and standard deviations,-policies are wrongly interpreted as intervention threshold rather than as a diagnostic threshold. (1) the criteria WHO appear therefore of extreme usefulness in clinical practice, but a proper diagno ...
electrolyte imbalanc..
electrolyte imbalanc..

... » Peak effect in 90 minutes – Sodium bicarbonate 1 ampule IV push – Onset: 30 minutes – Duration: 60-120 minutes ...
Consensus Statement - American Association of Clinical
Consensus Statement - American Association of Clinical

... Control; ESMON = Efficacy of Self Monitoring of Blood Glucose in Patients with Newly Diagnosed Type 2 Diabetes Study; QuED = Quality of Care and Outcomes in Type 2 Diabetes Study; ROSES = Role of Self-Monitoring of Blood Glucose and Intensive Education in Patients with Type 2 Diabetes Not Receiving ...
Diabetes factsheet
Diabetes factsheet

... Diabetes (diabetes mellitus) is characterised by high levels of glucose (sugar) in the blood. It is caused either by the pancreas not producing the hormone insulin (type 1 diabetes), not producing enough of it or by the body’s cells inability to react to insulin (type 2 diabetes). Symptoms of diabet ...
The Evidence for Achieving Glycemic Control With Incretin Mimetics
The Evidence for Achieving Glycemic Control With Incretin Mimetics

... ability of GLP-1 to exert effects on glucose metabolism and weight is preserved.17,18 Research has demonstrated that increasing exposure to GLP-1 affects a number of different targets: it normalizes glucose levels, promotes glucose-dependent insulin secretion, suppresses postprandial glucagon secret ...
3 DIaBetes BALANCING IS MORE THAN JUST AN ACT
3 DIaBetes BALANCING IS MORE THAN JUST AN ACT

... caused by lifestyle factors such as obesity. It is a non-preventable disease of the immune system that strikes with little warning, primarily affecting the most vulnerable members of our families—our children. Children diagnosed with this disease can look forward to a lifetime of careful, almost obs ...
pediatric - EB Medicine
pediatric - EB Medicine

... You’ve seen this syndrome before. It is most likely diabetic ketoacidosis. A reading of “unmeasurable” on a finger stick confirms your suspicion. But now comes the hard part. You recall a similar patient a few months ago who developed sudden neurologic deterioration upon transfer to the pediatric in ...
3. Blood Glucose Test Strips
3. Blood Glucose Test Strips

... and impact in Australia. This part also provides a synopsis of the current National guidelines for self-monitoring of blood glucose in type 2 diabetes. Part 3 – Provides the analysis of current research on blood glucose test strips used in the treatment of diabetes including their history of PBS lis ...
Undiagnosed type 2 diabetes: recognise risk factors
Undiagnosed type 2 diabetes: recognise risk factors

... Australian Pharmacist Continuing Professional Development (CPD) is a central element of PSA’s CPD&PI program. It is also part of the New Zealand College of Pharmacists (NZCP) education program for NZ pharmacists. The CPD section is recognised under the PSA CPD&PI program as a Group 2 activity. Membe ...
Lantus (insulin glargine)
Lantus (insulin glargine)

... As with all insulins, additional caution (including intensified blood glucose monitoring) should be exercised in patient populations who are at greater risk for clinically significant sequelae from hypoglycemic episodes. In a clinical study, symptoms of hypoglycemia or counter regulatory hormone res ...
Nursing of Adult Patients with Medical & Surgical Conditions
Nursing of Adult Patients with Medical & Surgical Conditions

... • Ammonia is normally converted into urea and then excreted by the kidneys • Liver dysfunction or altered blood flow to the liver causes blood ammonia levels to rise and BUN (blood urea nitrogen) to decrease ...
Glucose control in type 2 diabetes (Derbyshire guidelines)
Glucose control in type 2 diabetes (Derbyshire guidelines)

... Do not offer pioglitazone if the patient has any of the following: HF or history of HF, hepatic impairment, diabetic ketoacidosis, current, or a history of, bladder cancer and uninvestigated macroscopic haematuria. 2offer SGLT2(empagliflozin) instead of a gliptin (Alogliptin) if a sulphonylurea or p ...
Lithotripsy : benefits and unwanted side effects
Lithotripsy : benefits and unwanted side effects

... complication, often viewed as minor, was the development of acute pancreatitis; however no long term follow up studies had been done (Krysiewicz, 1992). In May 2006, The Journal of Urology published a 19 year follow-up study on patients who received shockwave lithotripsy in 1985 at the Mayo Clinic. ...
read first - Pend Oreille Surgery Center
read first - Pend Oreille Surgery Center

... Due to risk of ischemic injury, vasoconstrictors such as epinephrine are not recommended for continuous infusions for the following routes of administration: intraoperative site, perineural and percutaneous (excluding epidural). Medications or fluids must be administered per instructions provided by ...
Case Study Diabetes
Case Study Diabetes

... well as in adults, research suggests. A study in 40 children ages 7 to 17 who have type 1, or juvenile, diabetes found that automatic glucose monitoring significantly improved control of blood sugar. The device is licensed only for adults, but the developer, Cygnus, is seeking Food and Drug Administ ...
Type 2 diabetes: newer agents for blood glucose control in type 2
Type 2 diabetes: newer agents for blood glucose control in type 2

... • further weight gain would cause or exacerbate significant problems associated with a high body weight, or • a thiazolidinedione (pioglitazone, rosiglitazone) is contraindicated, or • the person has previously had a poor response to, or did not tolerate, a thiazolidinedione (pioglitazone, rosiglita ...
Numeta G13E emulsion for infusion ENG SmPC
Numeta G13E emulsion for infusion ENG SmPC

... Do not add other medicinal products or substances to one of the three chambers of the bag or to the reconstituted solution/emulsion without first confirming their compatibility and the stability of the resulting preparation (in particular, stability of the lipid emulsion) (see sections 6.2 and 6.6). ...
this issue - Endocrine News
this issue - Endocrine News

... matters inside the body. ...
Ascensia® WinGLUCOFACTS® Professional Software Improves
Ascensia® WinGLUCOFACTS® Professional Software Improves

... subjects in this study downloaded their meters at home. Two primary care physicians managed 90 Test Group and 66 Control Group subjects each of whom agreed to participate in the study for 12 months. The subjects in the Test Group and Control Group were matched in terms of demographics, diabetes hist ...
Syndromes of Ketosis-Prone Diabetes Mellitus
Syndromes of Ketosis-Prone Diabetes Mellitus

... they lacked islet cell autoantibodies, presented with DKA as the initial manifestation of diabetes, and became insulin independent over time. The elegant studies of Banerji et al. (7) in 1994 described a somewhat different atypical syndrome in overweight, adult Afro-Caribbean patients who had clinic ...
Continuum of Care - SouthEastern Ohio Regional Freenet
Continuum of Care - SouthEastern Ohio Regional Freenet

... Diabetes in the Older Adult • With age--an increased prevalence of functional disabilities & illnesses increases the complexity of managing diabetes. • Wake Forest University Baptist Medical Center– study of 300,000 people ’94-’99 – 4% higher annual mortality rate • Age 65 + with diabetes 10% morta ...
PEDS Diabetes - NurseCe4Less.com
PEDS Diabetes - NurseCe4Less.com

... increased risk of diabetes since 1993 and did not find any link between vitamin D intake nor 25-hydroxyvitamin D levels during childhood to be linked with autoimmune destruction of the islets of Langerhans nor progression to type 1 diabetes mellitus.17 Another risk factor for the development of type ...
Clinical Guiding Principles for Sick Day Management of Adults with
Clinical Guiding Principles for Sick Day Management of Adults with

... can result in hyperglycaemia, diabetic ketoacidosis (DKA), hyperosmolar hyperglycaemic state (HHS), hypoglycaemia or other adverse outcomes. Sick day management plans are an integral component of diabetes education. However, this important part of diabetes self-management is often not comprehensivel ...
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Artificial pancreas



The artificial pancreas is a technology in development to help people with diabetes automatically control their blood glucose level by providing the substitute endocrine functionality of a healthy pancreas.There are several important exocrine (digestive) and endocrine (hormonal) functions of the pancreas, but it is the lack of insulin production which is the motivation to develop a substitute. While the current state of insulin replacement therapy is appreciated for its life-saving capability, the task of manually managing the blood sugar level with insulin alone is arduous and inadequate.The goal of the artificial pancreas is two-fold:to improve insulin replacement therapy until glycemic control is practically normal as evident by the avoidance of the complications of hyperglycemia, and to ease the burden of therapy for the insulin-dependent.Different approaches under consideration include: the medical equipment approach—using an insulin pump under closed loop control using real-time data from a continuous blood glucose sensor. the bioengineering approach—the development of a bio-artificial pancreas consisting of a biocompatible sheet of encapsulated beta cells. When surgically implanted, the islet sheet will behave as the endocrine pancreas and will be viable for years. the gene therapy approach—the therapeutic infection of a diabetic person by a genetically engineered virus which causes a DNA change of intestinal cells to become insulin-producing cells.
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