Nursing Assessment
When giving insulin aspart, how soon should the nurse ensure the patient eats?
5-10 minutes after injection
When drawing up regular and intermediate acting insulin which is drawn up first?
Regular
Regular insulin
Side effects include skin rash or itching
Acarbose
Exenatide
increase glucose-dependent insulin secretion from pancreatic beta cells
In which patient would the nurse question giving insulin glargine?
a) renal or hepatic impairment patient
b) patient with history of hypertension
A) renal or hepatic impairment
How should insulin be stored?
Stored in a cool place. Keep in refrigerator until opening. Once open leave at room temp for up to 28 days.
When monitoring a patient with DM 2, what lab value should be checked every 3 months? What should this lab value be?
A1C - 7.5%
Side effects include dark colored urine or clay colored stools
Glyburide
Metformin
decreases hepatic glucose production, decreases intestinal absorption of glucose
If NPH insulin was given before breakfast, when would a hypoglycemic episode likely occur?
a) 1200
b) 1000
c) 1700
C 1700
You find your diabetic patient unconscious. They are cool and clammy to the touch. What medication would need to be administered?
Glucagon
What lab (outside of normal DM monitoring) should be monitored with pioglitazone?
Liver function
Side effects include blurred vision or changes in vision
Pioglitazone
Glipizide
to lower blood glucose acutely by stimulating the release of insulin from the pancreas
When administering insulin lispro at 0800, when would the nurse be most concerned with hypoglycemia?
a) 1000
b) 1500
c) 1700
A 1000
The nurse is instructing a student to administer regular insulin. How will the nurse instruct the student to administer?
SubQ. Abdomen (2 inches from umbilicus), back of arm, thigh. Rotate injection sites
Which lab (outside of normal DM monitoring) should be monitored for sitagliptan?
Cholesterol
Side effects include URI and sinusitis
Rosiglitazone
inhibition of dipeptidyl peptidase-4
Sitagliptin
The nurse assesses a patients q4 hour finger stick blood sugar reading and it is found to be 274. Which type of insulin would the nurse likely administer after this reading?
Insulin Regular
Before drawing up the insulin, how should you prepare the vial?
Gently roll the vial to ensure the suspension is evenly distributed.
What lab value has to be monitored more frequently in patients taking both warfarin and exenatide?
INR
Side effects include hypotension and possible low blood sugar coma as a complication
Glucagon
stimulating the release of insulin by pancreatic beta cells
Glimepiride