Agents to Control Blood Glucose Level

Question 1

classification for glipizide:

Answer 1

sulfonyureas

Question 2

glipizide mech of action:

Answer 2

stimulates insulin secretion from beta cells, increasing insulin levels, lower bs

Question 3

glipizide contraindications:

Answer 3

conditions that predispose to hypoglycemia; sensitivity to sulfa

Question 4

glipizide adv effects:

Answer 4

weight gain, skin rash, nausea, epigastric fullness, heartburn

Question 5

glipizide interactions:

Answer 5

beta-blockers, DPP4 inhibitors, sulfonamide antibiotics, herbs (3 g’s), diflucan

Question 6

Insulin Lispro classification:

Answer 6

fast-acting

Question 6

for a diabetic pt, wjat should the HbA1C be?

Answer 6

less than 7%

Question 7

Does the client need to eat after fast acting insulin?

Answer 7

yes IMMEDIATELY; typically given at meal times

Question 8

sliding scales are based off of what?

Answer 8

BS results

Question 9

metformin classifications:

Answer 9

biguanide

Question 10

metformin mech of action:

Answer 10

decrease the production of glucose by the liver, decrease intestinal absorption of glucose, increase uptake of glucose by tissues, do not increase insulin secretion from pancreas

Question 11

metformin missiclaneous:

Answer 11

most common type 2 oral drug, lactic acidosis rare but lethal if it occurs and does NOT cause hypoglycemia

Question 12

meformin contraindications:

Answer 12

renal disease, alcoholism, metabolic acidosis, liver disease, HF

Question 13

meformin adv effects:

Answer 13

abdominal bloating, nausea, cramping, diarrhea, metallic taste, reduced B12 levels

Question 14

meformin interactions:

Answer 14

cimetidine, diuretics, corticosteroids, comtrast media