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Digital Seminar

Diabetic Emergencies: Hyperglycemic Crisis and Hypoglycemic Pitfalls


Speaker:
Laurie Klipfel, RN, MSN, ANP-BC, CDCES, WCC®
Duration:
1 Hour 12 Minutes
Format:
Audio and Video
Copyright:
Oct 28, 2014
Product Code:
POS076530
Media Type:
Digital Seminar


Description

Diabetes affects an estimated 25 million Americans (11% of the population over 20 years old and 26% of patients over 65).  Therefore, no matter what specialty, healthcare providers need to be ready for diabetic emergencies.  Prevention, and rapid recognition and appropriate treatment can be life-saving.  Understanding what causes diabetic emergencies can be key to prevention of complications.  Insulin is a lifesaving hormone, but is one of the most confusing yet dangerous medications especially in our hospitalized patient.  Insulin is a powerful tool if used correctly and healthcare providers armed with knowledge can make a big difference.  This seminar can provide essential tools for patient safety, even if diabetes is not your specialty.

Topics covered include:

  • Diabetic Ketoacidosis (DKA)-prevention, recognition and treatment
  • Hyperosmolar Hyperglycemic Non-Ketotic Syndrome (HHNK/HHS)-prevention, recognition and treatment
  • Hypoglycemic Crisis- prevention recognition and treatment
  • Preventing and treating diabetic emergencies in hospitalized patients

OUTLINE

Diabetic Ketoacidosis: DKA

  • Causes
    • Insulin deficiency
    • Ketone production exceeds excretion
  • Contributing factors
  • Diagnosis
    • Symptoms to watch for
    • Lab
    • Assessing severity
  • Treatment & Prevention     
    • Recognizing risk and taking action
    • Prioritizing care
    • Dangers of DKA
    • Transition from IV insulin to subcutaneous
  • Preventing complications
    • Cerebral edema
    • Electrolyte imbalances

Hyperosmolar Hyperglycemic Non-Ketotic Syndrome: HHNK/HHS

  • Causes
    • Hyperglycemia with insulin present
  • Diagnosis
  • Symptoms
    • Lab
  • Treatment & Prevention
    • Prioritizing care
    • Transitioning off IV insulin
  • Preventing complications

Comparison of DKA & HHNK/HHS

  • Similarities and differences
    • Understanding acidosis
    • Understanding who’s at risk

Hypoglycemia

  • Prevention
  • Symptoms
    • Adrenergic
    • Neuroglycopenic
  • Treatment
    • 15-15-15 Rule
    • IV Dextrose
    • Glucagon
  • Long-term complications from hypoglycemia

Sick Day Management for Prevention of Hyper and Hypoglycemia

  • Diet modifications
  • Fluid Management
  • Monitoring:
    • Blood glucose
    • Ketones
  • Medications

Common Causes and Prevention of Emergencies in Hospitalized patients

  • Causes
    • Changes in intake
    • Changes in medication
    • Illness & stress response
  • Prevention
    • Importance of glycemic management
    • Identifying risk & taking action
  • Treatment
    • Dietary modifications
    • Medications
    • Fluid & electrolyte management

Goals of therapy

  • Adult
  • Pregnancy
  • Children/adolescents

OBJECTIVES

  • Discuss physical and laboratory findings that accompany DKA and HHNK/HHS.
  • Recognize clinical priorities in the management of blood sugar to decrease risk of crisis.
  • Understand importance of early recognition and appropriate treatment of diabetic emergencies.
  • Identify benefits and risks of tight glycemic control including risks of hypoglycemia.

 

ADA Needs
We would be happy to accommodate your ADA needs; please call our Customer Service Department for more information at 1-800-844-8260.

 

Satisfaction Guarantee
Your satisfaction is our goal and our guarantee. Concerns should be addressed to: PO Box 1000, Eau Claire, WI 54702-1000 or call 1-800-844-8260.

Credit


* Credit Note - **

NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after completing the on-line post-test (80% passing score) and completing the evaluation). 

Continuing Education Information:  Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. For other credit inquiries not specified below, please contact cepesi@pesi.com or 800-844-8260 before the event.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of your profession.  As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your profession's standards.  

For Planning Committee disclosures, please statement above.  For speaker disclosures, please see the faculty biography.


California Nurses

PESI, Inc. is a provider approved by the California Board of  Registered Nursing, Provider #: 17118 for 1.0 self-study contact hours. 

** You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.


Florida Nurses

PESI, Inc. is an approved provider by the Florida Board of  Nursing. Provider #: FBN2858. These materials qualify for 1.0 self-study contact hours.

CE Broker


Iowa Nurses

PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 1.5 self-study contact hours. Please email cepesi@pesi.com with your license number, include the title, speaker name and date. PESI must have this number on file in order for your hours to be valid.


Other Professions

This self-study activity qualifies for 1.25 continuing education clock hours as required by many national, state and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements.



Handouts/Brochure

Speaker

Laurie Klipfel, RN, MSN, ANP-BC, CDCES, WCC®'s Profile

Laurie Klipfel, RN, MSN, ANP-BC, CDCES, WCC® Related seminars and products

VA-John Cochran St. Louis


Laurie Klipfel, RN, MSN, ANP-BC, CDCES, WCC®, has been a Certified Diabetes Care and Education Specialist for over 20 years managing both inpatient and outpatient care for patients with diabetes. She has managed several hospital ADA-recognized diabetes education programs, is a Board-Certified Adult Nurse Practitioner with a specialty in endocrinology, and has a certification in wound care.

Laurie is a member of the American Association of Diabetes Care and Education Specialists and past president of her local chapter. She is a certified insulin pump trainer and has published articles on use of insulin pumps for hospitalized patients. Her practical patient experiences, supported by clinical knowledge, provide a blend of information on how to treat diabetes today.
 

Speaker Disclosures:
Financial: Laurie Klipfel has employment relationships with the VA-St. Louis and the Diabetes & Endocrinology Specialists, Inc. She receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Laurie Klipfel is a member of the St. Louis Nurses in Advanced Practice.


Additional Info

Access for Self-Study (Non-Interactive)

Access never expires for this product.


Target Audience

Nurses, and other Healthcare Professionals

Reviews

Satisfaction Guarantee
Your satisfaction is our goal and our guarantee. Concerns should be addressed to: PO Box 1000, Eau Claire, WI 54702-1000 or call 1-800-844-8260.

ADA Needs
We would be happy to accommodate your ADA needs; please call our Customer Service Department for more information at 1-800-844-8260.

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