Diabetes Meditus
Mimic the incretin hormones: GLP-1 inhibitors
Ozempic
Hyperglycemia that develops during pregnancy
Gestational diabetes
This is given a once a day dose that lasts throughout the whole day
Lantus
SIADH meds (two answers)
Demeclocycline and vaptan helps treat this
MOON FACE
Cushing syndrome
Lowers insulin resistance for diabetes (not for old people)
Metformin
80%-90% of pancreas cells lost
Type 1 diabetes
Insulin Nursing Implications (daily double +100 for each one right).
Stay room temp, roll them don't shake, orange cap syringes. Double check dosage with another nurse. monitor for hypoglycemia
Treatment is vasopressin
DI
Tumor on the adrenal glands
PHEOCHROMOCYTOMA
stimulate pancreas to release insulin
Sulfonylureas & glinides
Adrenal gland failure
Addison's disease
Explain the sliding scale
Sliding scale: SQ insulin is ordered in an amount that increases as the blood glucose increases
Acromegaly is treated with this
Octreotide
Hypersecretion of Growth Hormone is known as
Gigantism
make kidneys excrete the glucose in your urine
Glifozin
Defined as a greater than 600mg/dl glucose in type 2 diabetes patients
HHS
This insulin is cloudy
NPH
This disease causes a myxedema coma
Hypothyroidism
what does Cosyntropin do?
•Stimulates release of cortisol from adrenal cortex
•Anti-inflammatory effect from cortisol
•Used to diagnose adrenocortical insufficiency
Must be taken with meals to prevent excessive postprandial blood glucose elevations (with the “first bite” of a meal)
Acarbose (i.e., Precose), miglitol (i.e., Glyset)
Rebound hyperglycemia due to hypoglycemia throughout the night
Somogyi Effect
Order the following from fastest acting to slowest:
Novolin R
Insulin glulisine (i.e., Apidra)
NPH insulin
insulin detemir (i.e., Levemir)
Insulin glulisine (i.e., Apidra)
Novolin R
NPH insulin
insulin detemir (i.e., Levemir)
How long does it take to feel back to normal when taking levothyroxine.
14 days.
This diabetes med causes Hepatic toxicity
Glitazones