HLT54115 Diploma of Nursing Assignment- islet cells produce each hormone


Question 1 Pancreatic islet cells produce glucagon, insulin and somatostatin.Which islet cells produce each hormone? How does each hormone work to regulate blood glucose levels?

Question 2 Define gluconeogenesis and glycogenolysis?

Question 3 Kenchana Singh, a patient with a history of T1DM begins to tremble, feel sweaty and complains of nausea and dizziness. You take her BGL and it is 2.8 mmol/L. Outline the step by step instructions you would provide Kenchana regarding the immediate management of a blood sugar level of 2.8 mmol/L. 

Question 4 Explain the following in detail.  Pathophysiology of Diabetic Ketoacidosis including how the condition progresses from hyperglycaemia to life-threatening ketoacidosis, fluid and electrolyte imbalance

State two causes of DKA 

List the signs and symptoms of DKA including the blood glucose (mmol/L) and bloodketone levels (mmol/L) confirming the diagnosis.

Question 5 Explain the following, in detail.  Pathophysiology of Hyperosmolar Hyperglycaemic State including how the condition progresses from hyperglycaemia to life-threatening lactic acidosis, fluid and electrolyte imbalance in the absence of hyperketonaemia

State two causes of HHS

Investigative markers confirming diagnosis i.e. blood glucose level (mmol/L), blood ketone level (mmol/L), Se osmolarity (mOsm/kg) Se bicarbonate level (mmol/L) and clinical presentation

List three management priorities of HHA i.e. the aims of management rather than how it is treated

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