General Facts
Insulins
This 'n That
Oral Antidiabetic Meds
Hodge Podge
100
a complete lack of insulin produced in the pancreas and glucose transport into the cells is inhibitied.
What is Type I Diabetes Mellitus
100
Onset 1 hr; No Peak; Duration 24 hrs
What is long acting insulin, Lantus?
100
a change or hardening in the SQ tissues caused from not rotating injection sites
What is lipodystrophy
100
Diabinese, Glucotrol, Diabeta or Micronase
What are some sulfonylureas used to lower blood glucose?
100
used to treat hypoglycemia in the unconscious patient
What is Glucagon?
200
decreased insulin secretion from pancrease, cells become insulin resistant, liver produces too much glucose; probably have metabolic syndrome.
What is type 2 diabetes mellitus?
200
Clear to Cloudy, Always
What is the correct way to mix insulins?
200
so you can watch for hypoglycemia and hyperglycemia
Why should the nurse know the onset, peak and duration of insulins?
200
short duration of action, less hypoglycemic spells; taken before meals with individualized dose that is adjusted weekly for best results.
What is Prandin?
200
levothyroxine, a thyroid replacement hormone
What is the drug of choice in treating hypothyroidism?
300
the three classic signs of diabetes
What is polyuria, polydipsia, polyphagia
300
Onset 15-20 min; Peak 1-3hrs; Duration 3-5 hrs
What are rapid acting insulins
300
recent blood glucose reading, expected activity level, diet/meals, pt ed re s/s hypoglycemia
What are nursing assessments before giving insulin?
300
It increases sensitivity of cells to insulin, does not stimulate release of insulin; takes several months for full effect to be noted
What is Avandia, a TZD
300
irritability, excitability and anxiety
What are s/s of an overdose of levothyroxine?
400
It increases the rate of transport of glucose into the cells of the body.
What is the function of insulin?
400
Onset 1-2 hrs; Peak 4-12hrs; Duration 16-28 hrs
What is intermediate acting insulin?
400
How to use a glucometer, how to draw up insulin, the s/s of hypo and hyperglycemia, importance of diet/exercise and follow up, storage of insulin,
What is patient education for a new diabetic?
400
a type of biguanide oral antidiabetic agent
What is Metformin (Glucophage)?
400
tachycardia, palpitations, dysrhythmias, angina, intolerance to heat, anxiety, insomnia, tremors
What are some SEE when adjusting the dose of levothyroxine for a patient?
500
they stimulate the pancreas to secrete more insulin, they decrease glucose production by the liver, they increase the cell's sensitivity to insulin
What are the main actions of oral antidiabetic agents?
500
Onset 30-60 min; Peak 2.5-5 hrs; Duration 5-10 hrs
What is short acting insulin?
500
doesnt' cause hypoglycemia, doesn't cause weight gain, has + effect on triglycerides and sulfonylureas don't.
What are advantages of metformin (glucophage) over the sulfonylureas?
500
rosiglitazone, a TZD oral agent
What is Avandia?
500
initially given in low dose and gradually increased over a few weeks; monitor s/s closely.
What is dosing protocol when someone first starts taking levothyroxine?
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