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Chapter 19: Diabetic Emergencies and Altered Mental Status Flashcards

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5142092561Absence seizureA seizure that involves brief, sudden lapses in attention. No loss of consciousness, but no memory. Under 10 seconds, although a patient could have hundreds a day. Stop before adulthood or turn tonic-clinic0
5142092562AneurysmThe dilation, or ballooning of a weakened section of the wall of the artery1
5144568253AsphasiaDifficulty in communicatiom2
5142092563AuraA sensation experienced by a seizure patient right before the seizure, which might be a smell, sound, or general feeling3
5148434490Blood glucose meterPortable, handheld meters for measure glucose in blood.4
5145073698Broca's AphasiaExpressive or motor aphasia5
5142092564Cerebrovascular accidentA stoke, or neurological emergency that involves the vasculature of the brain. Time is essential6
5142092565Cincinnati prehospital stroke scale3 tests to determine if patient is having a stroke: 1) access plenty of facial droop (smile with teeth,) 2) Speech (give them a phrase,) 3) arm drift (close eyes, lift arms and hold them)7
5149097794Clonic phasePhase 2: the body jerks around violently, usually no more than 1-2 minutes (up to 5) the patient might drool or for, at the mouth, face might go cyanotic8
5149097795Complex partial seizureAnother term a psychomotor seizure9
5142092566ConvulsionsViolent muscle contractions10
5142092567Diabetes mellitusCondition brought about by the decreased insulin production or inability of the body cells to use insulin properly. Diabetic11
5142092568Diabetic ketoacidosisA condition that occurs as the result of high blood sugar (hyperglycemia) characterized by dehydration, altered mental status, and shock12
5142092569Diabetic KetoAcidosisDKA13
5142092570DysphagiaDifficulty swallowing14
5142092571DysphasiaDifficulty speaking15
5142092572EclampsiaSeizure due to pregnancy (third trimester)16
5142092573EmbolismBlockage of a vessel by a clot or foreign material brought to th site by the blood current17
5142092574EpilepsyA medical condition that causes unprovoked seizures, neurological condition18
5144568254Expressive aphasiaPatient understands you, but can't formulate the right words19
5168655220Face, arms, smile, timeFAST20
5142092575Febrile seizureFever related seizures21
5142092576Focal seizureTwitch or a tick, a focused body part with uncontrollable motor activity. Typically patients do not lose responsible22
5149097796Vocal motor seizureAnother term for a partial seizure23
5149097797Focal sensor seizureAnother term for a partial seizure24
5142092577Generalized seizureA seizure that affects both sides of the brain. Affects the consciousness25
5142092578GlucoseA form of sugar, the body's basic source of energy26
5144895287HyperglycemiaHigh blood sugar27
5146302180Hyperglycemic episodeDue to high blood sugar. TOO MUCH SUGAR, INADEQUATE INSULIN. the body has already used all the insulin, and the rest of the glucose stays in the body. Glucose levels in the blood creep up, while the cells starve for sugar. Hyperglycemia develops over days/weeks. Increase in hunger, thirst and urine; weak and fatigued, increased heart rate, respiratory rate (kussmaul- hyperventilations,) dehydrated, extremely high CBG - over 500 - omits a fruity, acetone odor in the breath. Also called a diabetic coma28
5145952465HypoglycemiaLow blood sugar29
5146302181Hypoglycemic episodeDue to low blood sugar. TOO MUCH INSULIN, TOO LITTLE SUGAR. diabetic takes too much insulin, thereby transferring all the glucose into the cells too quickly. Amplified by not eating, empty stomach, overexercising, conditions (fever or shivering.) extremely rapid onset; may mimic stroke. abnormal behavior (acts drunk,) pale cool and clammy, increased HR, increased RR, BP is the same or increasing, CBG below 30%. Seizures possible. Patient needs sugar - Oral glucose30
5144895288HypovolemiaLow blood fluid volume, can cause dizziness or syncope when the patient attempts to sit up or stand - dehydration, bleeding31
5142092579Grand Mal seizureAnother term for a generalized seizure32
5144568255HemiparesisOne sided weakness: right side-left side of the brain do something (verbal vs. movement)33
5142092580Hemorrhagic strokeA stroke caused by bleeding in the brain, frequently the result of long standing high blood pressure. It can also occur when's weak area of the artery (an aneurism) bulges out and eventually ruptures, forcing the brain into a too small of a scape34
5142092583InsulinA hormone produced by the pancreas or taken as medication by many diabetics35
5142092584Ischemic strokeCaused by a blockage, can occur when a clot of embolism occluded an artery. Most strokes36
5149097798JacksonianAnother term for a partial seizure37
5146187208MetaforminAnti-diabetic medication. Reduces glucose production, increase glucose uptake.38
5142092585Metabolic seizureSeizure due to drugs, hypoglycemia and hyperglycemia, withdraw39
5145952466PancreasSolid organ found in the abdomen, produces insulin40
5144895289PresyncopeLightheadedness41
5142092586Partial seizureA seizure that affects only one part or one side of the brain. Affect only part of the area of the body, patient may or may not loose consciousness42
5142092587Petit Mal seizureAnother term for absence seizure43
5148434491PolyphagiaExcessive hunger44
5148434492PolydyspiaExcessive thirst45
5148434493PolyuriaExcessive urination46
5142092588Postitcal phasePhase 3: The period of time immediately following a tonic-clonic seizure in which the patient goes from full loss of consciousness to full mental status, or stats unconscious. Typically lasts a a few minutes to couple hours. drowsiness, confusion, headache47
5149097799Psychomotor seizureOften preceded by an aura, characterized by no loss of consciousness but a loss of memory. Patient may be fidgety, confused, appear drunk, glassy stare, show great fear48
5144568256Receptive aphasiaPatient can speak clearly, but cannot understand what you are saying49
5142092589Reticular activating systemSeries of neurological circuits in the brain that control the functions of staying awake, paying attention, and sleeping50
5142092590Reticular Activating SystemRAS51
5142092591SeizureA sudden change in sensation, behavior, or movement. Due to the sudden misfiring of the brain. The most severe form of seizure produces violent muscle contractions called convulsions. A sign of underlying defect, injury or disease52
5142092592SepsisInfection, especially a severe, systemwide response to infection. Severe collation of problems associated with the body's response to an infection. 3 types of infections most associated are: respiratory infections, UTIs and wound infections. Increase in heart and respiratory rates, altered mental state, low BP, High CBG and decreased cap refill. Always suspect sepsis in alternate mental patients with signs of recent infections or at high risk53
5142092593Status epilepticusA prolonged seizure or situation when a person suffers two or more convulsive seizures without regaining full consciousness54
5144895290ThrombolyticBlood clot busting used in Ischemic strokes55
5142092594StrokeA condition of altered function caused when an artery in the brain is blocked or ruptured, disrupting the supply of oxygenated blood or causing bleeding in the brain. Unilateral, uneven signs and symptoms - use Cincinnati scale to determine. Today, strokes can be reversed if treated within 3 hours of last known normality56
5142092595Structural seizureA seizure due to tumor/cancer, stroke, abscess57
5144568257Subarachnoid hemorrhageBleeding from the artery under the arachnoid layer of the meninges - headache, clutching head, sharp pain in head58
5142092596SyncopeFainting, a brief loss of consciousness with spontaneous recovery - due to cardiovascular, respiratory, metabolic and environmental problems59
5142092597ThrombusBlood clot60
5142092598Transient ischemic attack"ministroke," patient appears to have s/s of a stroke, but unlike a stroke, a TIA patient has complete resolution within 24 hours. Small blood clots block circulation - short period of hypoxia. Patient at significant risk of a full blown stroke61
5144568258Transient ischemic attackTIA62
5146187209Type 1 diabetesAutoimmune disorder. No insulin produced, pancreas fails. Too much sugar, not enough insulin - require daily injections. More prone to medical problems and organ damage63
5146187210Type 2 diabetesToo little insulin produced. Appears later in life, as cells build resistance to insulin. The body fails to use insulin properly. Pancreas secretes enough insulin, they just can't use it (normal level, just ineffective.) can be reversed with diet and workingoyt64
5144895291Vasovagal syncopeThe most common type of syncope, simply fainting. Result of the stimulation of the vegus nerve65
5142092599Tonic-clonic seizureComes without warning, trashes wildly. A generalized seizure in which the patient loses consciousness and has jerking movements of paired muscle groups. 1-3 minutes, 3 phases: tonic, clinic and Postitcal66
5149097800Tonic phasePhase 1 - the body becomes rigid, stiffening for no more than 30 seconds. Breathing may stop, bowel and bladder control could be lost.67
5142092600Toxins, Sugar, Temperature, Oxygen, PressureToSTOP68
5145073699Werniches aphasiaReceptive or sensory aphasia, memory loss69

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