diabetic drugs Flashcards
1
Q
short acting
A
Regular insulin (Humulin R/Novolin R)
2
Q
- SQ
- Seen given IV
- 0.5 to 1 hr
A
Regular insulin (Humulin R/Novolin R)
3
Q
rapid acting insulin
A
- Lisproe
- Aspart
4
Q
Intermediate acting insulin
A
Insulin isophane suspension (NPH)
5
Q
- Action time – 15 minutes
- Take with or right before meal to prevent hypoglycemia
- SQ
A
rapid acting insulin
6
Q
- Cloudy insulin
- Mixed with regular
A
Intermediate acting insulin
7
Q
What two insulins are often mixed together?
A
RN – Regular first then NPH
short and intermediate
8
Q
what is short and rapid acting based on?
A
Short acting or rapid acting given based on FSBS
9
Q
what is Biguanides?
A
an oral diabetic drug class used in 2 and the drug is metformin
10
Q
- Decreases glucose production in the liver/intestinal absorption of glucose
- Improves insulin receptor sensitivity
- A.E. GI and metallic taste
- Long term effects: b12 and b9 deficiency
- DON’T USE: Iodine containing contrast, if pt is predisposed hypoxia or lactic acidosis
A
metformin
11
Q
drugs in Sulfonylureas class?
A
Glipizide
Glyburide
12
Q
- Bind to receptor sites in pancreas to stimulate the release of insulin
- decrease glucagon
- best in early diabetes 2
- STOP if/when insulin is needed
- only pts with working beta cells in the pancreas- not for type 1 diabetics
- NO: NPO, alcohol, elderly, allergy to sulfonamide, hypoglycemia pts
- A.E. hypoglycemia, weight gain, GI and rash
A
Sulfonylureas
13
Q
what drugs are too similar to be used together?
A
Sulfonylureas and Glinides (Meglitinides)
14
Q
what are the drugs in the drug class Glinides (Meglitinides)?
A
Repaglinide
15
Q
- Shorter duration than sulfonylureas
- Given with each meal
- A.E. hypoglycemia, weight gain
A
Glinides (Meglitinides); Repaglinide
