DIABETES Flashcards

DIAGNOSTICO E TRATAMENTO

1
Q

DIAGNOSTICO DIABETES

A

GJ ≥ 126;
HB1AC ≥ 6,5;
TOTG + GC ALEATORIA: ≥200

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2
Q

DIAGNOSTICO PRE DIABETES

A

GJ 100 a 125
HB1AC >5,7
TOTG 140

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3
Q

FENOMENO DO ALVORECER

A

CONCEITO: HIPERGLICEMIA MATINAL DEVIDO AO PICO FISIOLOGICO DE HORMONIOS

CONDUTA: AUMENTAR NPH DA NOITE OU DESLOCAR P/ ANTES DE DORMIR

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4
Q

EFEITO SOMOGY

A

CONCEITO: HIPERGLICEMIA MATINAL DEVIDO AO EFEITO REBOTE DA HIPOGLICEMIA NOTURNA

CONDUTA: DIMINUIR NPH DA NOITE OU DESCALONAR P/ ANTES DE DORMIR

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5
Q

BIGUANIDAS - METFORMINA EF. COLATERAIS:

A

GASTROINTESTINAIS
DEF DE VIT B12
ACIDOSE LATICA
INSUF RENAL

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6
Q

GLITAZONA
EF. COLATERAIS:

A

CONGESTAO
NAO USAR EM IC

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7
Q

INIBIDOR DA DPP4 “GLIPTINA” EF. COLATERAIS:

A

NAO CAUSA GANHO PONDERAL

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8
Q

ANALOGO GLP 1 -
EF COLATERAIS:

A

SACIEDADE; NAUSEA/VOMITOS;
PERDA PONDERAL
REDUZ RISCO CV

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9
Q

INIBIDOR SGLT2 - “GLIFOZINA”
EF COLATERAIS

A

CANDIDIASE
ITU
HIPOVOLEMIA
REDUZ RISCO CV

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10
Q

AJUSTE DE INSULINA:
GJ ELEVADA

A

AUMENTAR NPH DO JANTAR

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11
Q

AJUSTE DE INSULINA:
GC ELEVADA ANTES DO ALMOÇO

A

AJUSTAR REGULAR DA MANHA

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12
Q

AJUSTE DE INSULINA:
GC ELEVADA ANTES DO JANTAR

A

AJUSTAR NPH DA MANHA

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13
Q

AJUSTE DE INSULINA:
GC ELEVADA ANTES DE DORMIR

A

AJUSTAR REGULAR DO JANTAR

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14
Q

CAD:
VALORES DE K P/ INICIAR INSULINA

A

K<3,3 NÃO FAZER INSULINA

K 3,3 - 5,0 REPOE K E FAZ INSULINA

K>5 FAZ SÓ INSULINA

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15
Q

CAD:
QUANDO REPOR HCO3-

A

HCO3- < 6,9

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