Adult Health - Module 4

Question 1

Delta endocrine cells

Answer 1

Secrete growth hormone

Question 2

Beta endocrine cells

Answer 2

Secrete insulin

Question 3

Insulin

Released
Targets
Facilitates transport
Use

Answer 3

Released - b/c Increased blood glucose, GI hormones, and amino acids
Targets - Muscle, adipose tissue, liver
Facilitates transport - of Glucose, amino acids, and fats
Use - for energy, healing, and storage

Question 4

Diabetes diagnosis criteria

Answer 4

A1C > 6.5%
Fasting glucose > 12
2 hour plasma glucose > 200
Patient with classic diabetes symptoms with random plasma glucose > 200

Question 5

Main med for type 2 diabetes

Answer 5

Glucophage. Not given for iv contrast and held 48 hours prior

Question 6

Oral Hypoglycemic agents

Answer 6

Sulfonylureas, Meglitinide, Neteglinide

Question 7

Antihyperglycemic agents

Answer 7

Biguanise, A-glucosidase inhibitors, and thiazolidindione

Question 8

Biguanide effect

Answer 8

Decrease hepatic glucose production

Question 9

A-glucosidase inhibitor effect

Answer 9

Delay carb absorption in the intestine

Question 10

Thiazolidindione effect

Answer 10

Sensitize muscle cells to insulin

Question 11

Cannot use metformin with

Answer 11

IV contrast

Question 12

Diabetes medication combinations

Answer 12

Metaglip and Glucocance (affect pancreas and liver)
Avadamet (affect muscle and liver)
Avandaryl (affect muscle and pancreas)

Question 13

Injectable antihyperglycemic agents

Answer 13

Byetta and Symlin

Question 14

Alpha endocrine cells

Answer 14

Secrete glucagon

Question 15

Log insulin precautions

Answer 15

Only given when meal is present

Question 16

Regular and novalog precaution

Answer 16

Only insulins used for iv administration

Question 17

First sign of hyperglycemia

Answer 17

Tremors, sweating, palpitations, hunger

Question 18

When to call physician for hypoglycemia

Answer 18

BG levels in ranges determined by physician (usually