Diabetes Mellitus - Insulinoterapia e Cirurgia Metabólica Flashcards

1
Q

secreçao de insulina

A

forma basal e continua porem tem picos apos a alimentaçao

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2
Q

insulina basais

A

nph detemir glargina degludeca

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2
Q

prandiais

A

regular lispro glulisina aspart

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3
Q

basais

A

açao intermediaria longa e ultralonga

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4
Q

intermediaria

A

nph

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5
Q

prandiais

A

açao rapida regular e ultrarrapida o resto

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6
Q

Antidiabeticos divisao

A

inuslina e nao insulinicos

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7
Q

nao insulinicos

A

antidiabeticos orais e agonistas do receptor gplp1

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8
Q

indicaçoes de inuslina no dm2

A
  • sinais de catabolista (perda de peso cetose e hipertrigliceridemia)
  • sintomas de hiperglicemia (poliuria polidipsia nocturia perda de peso)
  • glicemias muitos elevedas (glicada maios ou igual a 9)
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9
Q

como inicia a inuslina no dm2 - tem alguns mas lembrar pelo menos de 1

A

antes de dormir - bed time - 10 ui ou 0,1 a 0,2 ui/kg por causa do pico noturno

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10
Q

esquema basal da NPH

A

3 aplicaçoes ao dia para cobrir as 24 horas

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11
Q

Se o paciente esta precisando de muita insulina quais antidiabeticos orais suspender??

A

os secretagos - glinidas e sulfiniureias

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12
Q

esquema basal plus

A

inuslina pos prandial

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13
Q

Insulina basal olhar qual glicemia

A

pre prandial

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14
Q

insulina prandial olhar qual glicemia

A

pos prandial

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15
Q

e necessario suspender a sulfiniureia se ele usa inuslina?

A

nao, só sispende se ele usar o esquema full - basal + prandial

16
Q

como faz a transiçao da inuslina feita ev para a sc em um contexto de internaçao de um paciente critico