Download Endocrine Secrets by Michael T. McDermott MD PDF

By Michael T. McDermott MD

I'm an LPN who has lots of adventure yet did not have Endo adventure. i purchased this ebook to aid me alongside after beginning a brand new activity. The ARNP who additionally all started at our place of work additionally has this booklet! i believe it truly is nice! It explains issues on a degree that you should simply comprehend but does not remove from the pro reader. you could have to nonetheless buy a publication on Endo body structure simply to comprehend the illness strategy in additional intensity yet it is a nice begin and that i could hugely suggest it.

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Patients and family members should be instructed not to overtreat hypoglycemia, particularly if it is mild. Overtreatment leads to subsequent hyperglycemia. Patients should also be instructed to test the blood glucose level when symptoms occur to confirm hypoglycemia whenever feasible. If testing is not possible, it is best to treat first. Patients on medication should be instructed to test their glucose level before driving a vehicle. , <125 mg/dL), the patient should be instructed to ingest a small source of carbohydrate before driving.

Patients with diabetes are at a twofold to fourfold increased risk for both cardiovascular disease (CVD) and peripheral vascular disease compared with the nondiabetic population. Women with diabetes have as high a risk for CVD as men. The commonly identified risk factors for CVD—smoking, hypercholesterolemia, and hypertension—also adversely affect CVD risk in diabetic persons. 69. Which factors specific to diabetes increase the risk for CVD? The blood of diabetics has been found to have increased platelet aggregation, decreased red cell deformability, and reduced fibrinolytic activity.

20. How should you select a basal insulin dose? Long-acting insulin (glargine, detemir) given once or twice a day or intermediate-acting insulin (neutral protamine Hagedorn; NPH) given twice a day will usually provide adequate basal coverage. NPH causes more glucose variability and more hypoglycemia due to unpredictable insulin peaks and therefore most providers prefer to use glargine or detemir. The basal dose should be approximately 50% of the total daily insulin dose required. 21. How should you select a prandial dose for patients on insulin?

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