endocrine Flashcards
which insulin comes in 100 and 200 units
insulin degludec
which insulin can be used for weight loss
liraglutide
this insulin is contraindicated in severe heart failure
liraglutide
class of liraglutide
human glucagon peptide 1 analogue
which two diabetic classes causes hypoglycaemia
insulin and sulphonylurea
tx for dka
iv insulin soluble human (actrarapid) at fixed rate and normal basal insulin
glargine is a…
long acting insulin
liraglutide side effect
pancreatitis
alcohol with tolbutamide causes…
hypoglycaemia
what decreases tolbutamide
ginkgo biloboa
name a short acting sulfonylurea
tolbutamide
name a long acting sulfonylurea
glibenclamide
which drug should be avoided in elderly
glibenclamide
which drug is given to diabetics with poor renal function
gliclazide
which drug causes hypoglycaemia with sulfonylurea
chloramphenicol
what do you do with metformin when it comes to surgery?
discontinue 48 hrs before and 48 hrs after
what should you do with metformin if high creatinine but low egfr
review
two benefits of metformin
helps with insulin resistances issues and helps lose weight
metformin counselling point
with food
severe hypercalcaemia tx
pamidronate
gliptins should only be continued if…
hba1c is reduced by at least 0.5% points within 6 months
what is added as a triple therapy with metformin and sulfonylurea
vildagliptin
if a pt is hypoglycaemic at a specific time you add…
gliptins
which drug causes hypoglycaemia when added with metformin, sulfonylurea and insulin
linagliptin
which drug causes pancreatitis and what should you do?
alogliptin (abdominal pain? - stop)
which drug is intensively monitored and should be reported to MHRA?
dapagliflozin
which drug causes utis
dapagliflozin
what to do if you feel dizzy and faint with flozins
see gp asap
flozins cause…
dka
dka symptoms
n&v, fast + deep breathing, sleepiness
which drug is contraindicated in hf
pioglitazone
pioglitazone can cause…
bladder cancer
maximum dose for nateglinide
180mg tds
what do you do if a diabetic is confused, dizzy, tachycardic
glucagon
hypoglycaemic 10 day old tx not responding to standard tx
diazoxide
hypoglycaemia symptoms
sweating and dizzy
hypoglycaemia tx
glucagon
action to be taken if heartburn with alendronic acid
stop until you see gp
when do you refer a fungal nail
if they are diabetic
name a risk factor of acute pyelonephritis
kidney stones
zolendronic acid se
dental pain
name two se of prednisolone
hyperglycaemia and gastric ulcers
after how many years do you reassess alendronic acid
5 years
blood glucose is <4mmol tx
4-5 dextrose tabs, 4+ eat carbs
lab test for carbimazole
neutrophil count
at what age do you prescribe low dose thyroxine
50+
croup tx
dexamethasone
levothyroxine 4 side effects
weight loss, anxiety, tachycardia, insomnia
ulcerative colitis exacerbation tx and dose
hydrocortisone 100mg qds iv
normal alcohol units and advice
14 units a week spread over 3 days or more
insulin must be prescribed by brand t/f
true
what to report - pt taking prednisolone for first time
call GP straightaway if any breathless, swelling, vision change, bruising/bleeding, black poo, dark vomit
basal is
long
bolus is
short
example of basal
isophane
dose of prednisolone for acute exacerbation of copd
40mg daily for five days
dose of prednisolone for acute exacerbation of asthma
30mg daily for five days
hypothyroidism 4 symptoms
tired, constipation, weight gain, weakness
swallowing too much pool water can cause
hyponatraemia
