Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Pharm 2 > Ch.40 > Flashcards

Ch.40 Flashcards

1
Q

Formerly known as insulin-dependent diabetes mellitus or IDDM

A

Type 1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Formerly knows as non-insulin-dependent diabetes mellitus or NIDDM

A

Type 2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

DM is a chronic disorder characterized either by insufficient insulin production by the __ cells of the ___ or by __ __ to insulin

A

Beta
Pancreas
Cellular resistance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

SATA
Those with tpr 1 do not produce enough insulin and therefore must have __ ___ to survive. Type one usually has a __ onset, occurs before age __, produces more __ symptoms __ than type 2, and more ___ to control

A

Insulin supplementation
Rapid
20
Severe
Swifter
Difficult

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Control of type 1 is particularly difficult because of the lack of __

A

Insulin production by the pancreas

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Those with type 2 are affected with by decreased production of __ by the __ cells of the ___ or by decreased sensitivity of the __ cells to insulin, making the cells __

A

Insulin
Beta
Pancreas
Body
Insulin resistant

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

SATA
Risk factors for type 2 DM

A

Obesity
Older age
Family history of diabetes
History of gestational diabetes
Impaired glucose intolerance
Minimal or no physical activity
Race/ethnicity (African American, Hispanic/latino Americans, native Americans, & some Asian Americans)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

When insulin first begins to act in the body

A

Onset

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

When the insulin is exerting maximum action

A

Peak

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

The length of time the insulin remains in effect

A

Duration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Has a slower and more even release into the bloodstream; therefore, it does not have a “peak action”
Peakless

A

Glargine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Selected drugs that decrease the effect (more insulin may be required)

A

Contraceptives
Oral corticosteroids
Nicotine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Drugs that increase the effect (less insulin may be required)

A

Beta blocking drugs
Salicylates

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Insulin most common for gestational diabetes

A

GLP-1s (glucagon like peptide 1 agonists)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Contraindicated in clients with a personal or family history of thyroid (medullary) or other endocrine cancers.

A

GLP-1s

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

This drug should not be used to treat type 1

A

GLP-1s

17
Q

Improve insulin sensitivity in muscle and fat cells

A

Thiazolidinediones (TZDs)

18
Q

Prevent the after meal surge in blood glucose by delaying the digestion absorption of carbs in the intestine

A

Acarbose (Precose)
Miglitol (Glyset)

19
Q

Appear to lower blood glucose by stimulating the beta cells of the pancreas to release insulin

A

Sulfonylureas

20
Q

The most commonly used sulfonylureas

A

Glimepiride
Glipizide
Glyburide

21
Q

Sulfonylureas may have an increased ___ effect when administered with anticoagulants, NSAIDs, salicylates or sulfonamides

A

Hypoglycemic

22
Q

The best way to monitor long term glycemic control and response to treatment is with __ levels measured at __ intervals

A

HbA1c
3 month

23
Q

Insulin requirements may change when the client experiences any form of __ with any __ particularly illnesses resulting in __ and __

A

Stress
Illness
Nausea & vomiting

24
Q

__ is the only insulin prep given IV

A

Regular insulin

25
Q

__ is given subcutaneous once daily at bedtime

A

Glargine

26
Q

__ used in treating adults and children with type 1 and in adults either type 2 who need long acting insulin for the control of hyperglycemia

A

Glargine

27
Q

Regular is __ where as intermediate and long acting are __. The __ should be drawn up __. When __ is mixed with a longer acting insulin it is drawn up __

A

Clear
Cloudy
Clear
Lispro
First

28
Q

Do not mix or dilute __ with any other insulin or solution because glucose control will be lost and the insulin will not be effective

A

Glargine

29
Q

SATA
Methods of terminating a hypoglycemic reaction include the administration of one or more of the following rescue foods

A

4oz of oj or other fruit juice
Hard candy or 1 tsp of honey
Glucose products such as glucose gel or tablets
Glucagon subcut IM or IV
Glucose 10% or 50% IV

30
Q

Short and rapid acting

A

Regular insulin-Humulin R
Aspart-NovoLOG
Glulisine-Apidra
Lispro-HumaLOG

31
Q

Intermediate acting insulins

A

Isophane suspension (NPH)-Humulin N, Novolin N

32
Q

Long acting insulins

A

Insulin detemir-Levemir
Insulin Glargine-Lantus

33
Q

Biguanide

A

Metformin-Fortamet, Riomet, Glucophage

34
Q

GLP-1 agonists

A

Exenatide

Pharm 2 (7 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions