Nursing: Pediatric Pharmacology: Diabetic Emergencies

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About the Course

The prevalence of diabetes in the United States is significant. This course is intended for Advanced Practice Nurses (APNs) who are responsible for the primary care of diabetics in their practice or who may encounter patients suffering from a diabetic emergency.  The course presents a background on diabetic emergencies that may occur as a result of this disease and outlines how to manage such patients. To best illustrate the seriousness of these situations, a series of case studies are presented to further characterize diabetic emergencies, their management, and potential complications. 

Learning Outcomes:
Upon completion of this course, the learner will be able to:
  • Distinguish the root pathologies of Type 1 and Type 2 diabetes.
  • Describe the first recorded diagnostic test for the presence of diabetes.
  • Name two clinical laboratory tests that can be used to indicate the presence of diabetes.
  • Identify the most common pathology linked to the occurrence of hyperglycemic hyperosmolar states (HHS).
  • State the most serious complication associated with diabetic ketoacidosis (DKA) and its treatment.
  • Explain how the presence of C-peptide is related to the production of insulin.
  • Provide a rationale for how hypokalemia can worsen during treatment of DKA.
  • State the most common and significant difference in the clinical presentation of DKA and HHS.
  • Discuss the role of long-acting insulin in the acute treatment of diabetic emergencies.
  • Suggest a situation where it may be appropriate to use glucagon in the treatment of hypoglycemia.

About the Author: 
Brad Gillespie, PharmD

Trained as a clinical pharmacist, Mr. Gillespie has practiced in an industrial setting for the past 25+ years. His initial role was as a Clinical Pharmacology and Biopharmaceutics reviewer at the U.S. Food and Drug Administration (FDA), followed by 20 years of leading early development programs in the pharma/ biotech/ nutritional industries. In addition to his industrial focus, he remains a registered pharmacist and enjoys mentoring drug development scientists and health professionals, leading workshops, and developing continuing education programs for pharmacy, nursing and other medical professionals.

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