Diabetic Medications

Question 1

What are the sulfonylureas?

Answer 1

These are the Rides and Zides!

Stimulate the pancreas Beta cells to release more insulin.

Include
Glyburide (Micronase)
Glipizide (Glucotrol)
Glimepiride (Amaryl)

Question 2

What are the Biguinuides?

Answer 2

These decrease the production of glucose by the liver and include:
Metformin

Question 3

What are thiazolidinediones?

Answer 3

These increase cellular response to insulin
AKA They put the “Glit in yo Zone”

Rosiglitazone (Avandia)
Pioglitazone (Actose)

Question 4

What are the alpha glucosidase inhibitors?

Answer 4

These reduce the intestinal uptake of carbohydrates.

Acarbose (No carbs!)
Miglitol (Gummy worms)

Question 5

What are the two rapid acting forms of insulin?

Answer 5

Lispro (Humalog) O: 10-15 mins P: 1-2h D: 3-5h

Apartate (Novolog) O: 10-15 mins P: 1-2h D: 3-5h

Question 6

What is the short acting insulin?

Answer 6

Regular insulin!
O: .5-1 hour
P: 2-4h
D: 4-8h

Question 7

What are the two intermediate acting insulin?

Answer 7

NPH O: 1-3h P: 4-10h D: 10-18h

Lente

Question 8

What are the two long acting insulin?

Answer 8

Glargine (Lantus) O: 2-3h P: none D: 24+ hours

Detemir (Levemir) O: 1h P: none D: 24 hours

Question 9

Type 2 NIDDM NPO orders

Answer 9

1/2 the normal dose of long acting (Lantus or Levemir)
BG check q6 hours with short acting available for coverage.

D5W or D5 1/2 NS while NPO

Question 10

Type 1 IDDM NPO orders

Answer 10

1/2-1/3 normal dose of long acting (Levemir or Lantis)

BG checks q6 hours

D5W

Question 11

What is found in a lactated ringer?

Answer 11

Sodium
Potassium
Chloride
Calcium
Dextrose
LActate (Duh)

Question 12

{What are the two microbes that most commonly cause fever after surgery?

Answer 12

Strep pyogenes (Group A strep)
Clostridium prefernigens