325 Simulation Questions
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Feb 20, 2024
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Carl Rogers Pre-brief Questions 1)
Rapid Acting: Lispro & Aspart
Onset: Both Lispro and Aspart have a rapid onset, typically around 15 minutes.
Peak: The peak effect occurs around 1-2 hours after injection.
Duration: Their duration of action is approximately 3-4 hours.
Short Acting: Regular
Onset: Regular insulin has a slower onset compared to rapid-acting insulins, generally around 30 minutes to an hour.
Peak: It peaks around 2-4 hours after injection.
Duration: The duration of action is about 5-8 hours.
Intermediate Acting: NPH
Onset: NPH insulin has a slower onset, typically starting within 1-2 hours after injection.
Peak: The peak effect occurs around 4-12 hours after injection.
Duration: NPH insulin has a longer duration compared to short-acting insulins, ranging from 12 to 24 hours.
Long Acting: Glargine & Detemir
Onset: Glargine and Detemir have a slow and steady onset, with minimal peaks.
Peak: They are designed to have a peak less profile.
Duration: Glargine has a duration of action of approximately 24 hours, while Detemir's duration can vary but is generally around 18-24 hours.
Mixed: NPH/Regular 70/30
This is a combination insulin containing both NPH and Regular insulin.
The NPH component provides intermediate action, and the Regular component provides a short duration of action.
The onset, peak, and duration will be a combination of the individual characteristics of NPH and Regular insulins.
2)
Emphasize the importance of balanced meals that include a mix of carbohydrates, proteins and fats
a.
Consumption of fiber-rich foods such as whole grains, fruits and vegetables
b.
Limiting added sugars, collaboration with a dietitian, regular physical activity c.
Healthy fats, protein choices, hydration, monitoring blood sugar
3)
Clear communication, schedule regular team meetings, define team goals, establish mechanisms for resolving conflicts in a constructive manner, cultural competence training, collaborative care plans Cynthia Bennet Pre-Brief Questions
1)
Respiratory: Dyspnea, wheezing, throat tightness
Cardiovascular: tachycardia, hypotension, altered level of consciousness, pallor skin Gastrointestinal: NA/V, abdominal pain, diarrhea Dermatological: Urticaria, Angioedema, pruritus, flushing or pallor 2)
Initial interventions: assessment ( ABCs), administer epinephrine, maintain airway & breathing such as oxygen & assist with ventilation if needed, administer IV fluids, positioning Ongoing interventions: continuous monitoring and reassessing the patient, repeat epinephrine if needed or antihistamines & corticosteroids, educate patient and family about allergen avoidance 3)
Respect pronouns and gender identity, educate staff, confidentiality & privacy, affirmative care practices, seek patient feedback,
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