Exam 1 Meds

Question 1

Rapid Insulin Names

Answer 1

Lispro, Aspart, Glulisine

Question 2

Rapid Insulin Feed time

Answer 2

0-15 min

Question 3

Rapid OPD

Answer 3

10-30min, 30min-3hr, 3-5hr.

Question 4

Short Insulin Names

Answer 4

Regular (Humulin R, Novolin R)

Question 5

Short Insulin Feed Time

Answer 5

30-45 min

Question 6

Short Insulin OPD

Answer 6

0.5-1hr, 2-5hr, 5-8hr

Question 7

Intermediate Insulin Names

Answer 7

NPH (Humulin, Novolin, ReliOn N)

Question 8

Intermediate Feed Time

Answer 8

No, given with short/rapid

Question 9

Intermediate OPD

Answer 9

1.5-4hr. 4-12hr, 12-18hr.

Question 10

Long Insulin Names

Answer 10

Glargine (Lantus)

Detemir (Levemir)

Question 11

Long insulin feed time

Answer 11

No, given once at bedtime

Question 12

Long Insulin OPD

Answer 12

0.8-4hr, none, 24 hr.

Question 13

Biguanide generic name

Answer 13

Metformin

Question 14

Metformin action

Answer 14

Dec hepatic gluc prod
enhance insulin sensitivity
inc. gluc. transport into cell

Question 15

Metformin Warnings

Answer 15

Do not use with alcohol
Watch for lactic acidosis
Kidney/Liver/Heart Dz
IV Iodine contrast/surg

Question 16

Drug Alerts

Answer 16

Metformin (Glucophage)
Rosiglitazone (Avandia)
Exenatide (Byetta)
Pramlinitide (Symlin)

Question 17

Rosiglitazone Warnings

Answer 17

Risk of MI and CVA

No use w/ HF

Question 18

Exenatide Warnings

Answer 18

Cause pancreatitis and kidney problems

Question 19

Pramlinitide Warnings

Answer 19

Causes SEVERE Hypoglycemia with Insulin

Question 20

Sulfonylureas Generic Name

Answer 20

Glipizide

Question 21

Glipizide Action

Answer 21

Stim. insulin prod. from Pancreas
Dec. prod. of new glucose
Inc. cellular sensitivity to insulin

Question 22

Meglitinides Action

Answer 22

Stimulates rapid/short burst of insulin from pancreas

Question 23

Alpha glucosidase inhibitors names

Answer 23

Acarbose (Precose)

Question 24

Acarbose Action

Answer 24

Delay gluc absorption in GI

Question 25

Thiazolidinediones Action

Answer 25

Inc. gluc uptake in muscles | Dec. endogenous prod.

Question 26

DPP-4 Inhibitors Actions

Answer 26

Enhance activity of incretins Dec. liver prod. of gluc. Stim. insulin release from pancreatic B cells

Question 27

Dopamine Agonist Action

Answer 27

IT JUST DOES

Question 28

Non-insulin Injectables

Answer 28

GLP-1 Receptor Agonist | Amylin Analog

Question 29

GLP-1 Receptor Agonist Action

Answer 29

Stimulate release of insulin Decrease glucagon secretion Decrease gastric emptying

Question 30

Amylin Analog Action

Answer 30

Decreases... gastric emptying, glucagon secretion endogenous output from liver

Question 31

SSRI is...

Answer 31

Selective Serotonin Reuptake Inhibitors | First line in Anxiety and OCD disorders

Question 32

SSRI medication names

Answer 32

Paroxetine (Paxil) Citalopram (Celexa) Escitalopram (Lexapro)

Question 33

SSRI Med Names 2

Answer 33

Fluoxetine (Prozac) Fluvoxamine (Luvox) Sertraline (Zoloft)

Question 34

SSNRI/SNRI Means...

Answer 34

Selective serotonin NE reuptake inhibitors

Question 35

SNRI Action

Answer 35

Inhib. uptake of serotonin/NE | More side effects than SSRI

Question 36

SNRI Med Names

Answer 36

Duloxetine (Cymbalta)

Question 37

TCA Action

Answer 37

Blocks NE and Serotonin reuptake

Question 38

TCA Name

Answer 38

Doxepin (Adapin/Sinequan)

Question 39

MAOI stands for

Answer 39

Monoamine Oxidase Inhibitor

Question 40

MAOI action

Answer 40

Last line treatment, follow strict diet Inhibits MAO

Question 41

MAOI Names

Answer 41

Isocarboxazid (Marplan) | Phenelzine (Nardil)

Question 42

BZA Actions

Answer 42

Anxiety disorders Inc. effect of GABA Dec. excitability of CNS

Question 43

BZA Side Effects

Answer 43

Monitor for: Sedation Ataxia (Uncoordinated movement) Dec. Cognitive function

Question 44

BZA Names

Answer 44

Alprazolam (Xanax) Buspirone (BuSpar) Chlordiazepoxide (Librium)

Question 45

BZA Names 2

Answer 45

Clonazepam (Klonopin) Diazepam (Valium) Lorazepam (Ativan)

Question 46

Antipsychotic Names

Answer 46

Halperidol (Haldol)

Question 47

Anticonvulsants Action

Answer 47

Inhib Na and Ca Promote GABA Inhib GABA metabol

Question 48

Anticonvulsant names

Answer 48

``` Carbamazepine (Tegretol) Divalproex Sodium (Depakote) ```

Question 49

MAOI Warning

Answer 49

Cannot eat tyrosine (present in fermentation) | Ex. soy anything, eggs, cheese, turkey

Question 50

BZA Warnings

Answer 50

Addictive Withdrawal causes seizures/coma Don't change dose Switch to SSRIs after a couple weeks

Question 51

SSRI Warnings

Answer 51

Causes ED Suicidal thoughts Anxiety Still safer than BZAs