ORAL HYPOGLYCEMICS
INDICATIONS
INSULIN
INSULIN
INSULIN
100
tOLBUTAMIDE, CHLORPORPAMIDE Glyburide, Glipizide, Glimepride
What is First generation Sulfonylureas and second gen sulfonylureas
100
Lowers blood sugar by stiulating the release of insulin by the beta cells of the pancrease and causes tissues to take up and store glucose more easily. Seocnd generation are high potency and longer acting
What is sullfonylrueas (Glyburide, Glipizide, Glimepride)
100
B-cells ,alpha -cells, Delta-cells, F-Cells located in the islets of langerhans are responsible for secreting
What are Insulin, glucogon, somatostatin, polypeptide hormones
100
an autoimmune disorder characterized by the destruction of insulin-secreting cells in the pancrease
What is Type 1 diabetes
100
Body's response to illeness and stress is to produce glucose. Therefore, illness results in Hyperglycemia (Ture or False)
What is true
200
Repaglinide (Prandin)
What is Meglitindes
200
lower serum glucose levels by inhibiting hepatic glucose production and increasing sensitivity of peripheral tissue to insulin
What is Biguinides (Glucophage)
200
-Hormoe responsible for uptake and storage of glucose in the form of glycogen -promotion of excess glucose conversion into fat -supress the breakdown of glycogen to glucose -promotes the uptake and metabolismof glucose in muscles cells
What is Insluin
200
Regular insulin
What are Short-Acting insulins
200
polydipsia, polyurea, polyphagia, Blurred vision, weakness, weight loss, syncope
What is S/S of Hyperglycemia
300
Glucophage
What is Biguinides
300
Lowers blood sugar by decreasing the insulin resistance of the tissues
What is Thiazolidinediones ( Rosiglitazone, pioglitazone)
300
liver synthesizes its own glucose supply called
What is Gluconeogenesis and glucogene
300
Given IV
What is short acting (regular human insulin)
300
Encourage water intake, check BS frequently, assess for ketoacidosis (urine ketones, urine glucose) and administer insulin as directed (may be IV drip)
What are nursing actions for managing Hyperglycemia
400
Acarbose, Miglitol
What is Alpha-Glucosidase
400
Lowers blood sugar by stimulating beta cells in pancrease to release insulin
What is Meglitindes (prandin)
400
three body systems involved in the regulation and use of glucose
What are liver, pancreas and skeletal muscle tissue
400
onset in 30-60 minutes with peak in 2-4 hrs
What is short acting
400
Headache, nausea, sweating, tremors, lethargy, hunger, confusion slurred speech, tringling aroung mouth,anxiety and nightmares
What are S/S of Hypoglycemia
500
Rosiglitazone, pioglitazone
What is Thiazolidinediones
500
Indicates glucose control over previous 120 days
What is A1C
500
when hypoglycemia occurs, liver breaks down its glycogen storage called
What is glycogenolysis
500
duration of 24 hrs and no peak
What is Glargine/Lantus
500
Treat with glucogon IV, IM for
What is hypoglycemia in an unresponsive patient