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Therapeutics P2 > Exam 3 lecture 7 > Flashcards

Exam 3 lecture 7 Flashcards

1
Q

What are the two tyoes of insulin oens

A

Reusable
Disposable

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2
Q

T/F we can only use rapid actings in cartridges

A

True

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3
Q

What are some features the novopen echo has

A

It has a memory function (when the last dose was given/ how many units were given
Also dosed in half unit increments

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4
Q

What are some features of InPen

A

Smart pen with an app that you can put in CHO content and will tell you doses without us having to calculate CF

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5
Q

Max doses for InPEN and Novopen

A

30 units

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6
Q

What features for tempo

A

A prefilled insulin pen with smart button and diabetes management device. It can also be app driven

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7
Q

bigfoot unity systems features

A

Black cap is for long acting
White cap is for rapid acting
pairs with freestyle libre 2

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8
Q

1 box of ben needles has how many pens

A

100

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9
Q

Which gauge is thinner

A

higher gauge= thinner neede

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10
Q

common lengths of needles

A

4,5,6,8,12.5

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11
Q

Prime pens with 2 units except for when using

A

humlin R u 500
toujeo max u 300
toujeo solostar

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12
Q

how many units to prime for Humlin Ru 500 kwikpen

A

5 units

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13
Q

how many units to prime for toujeo max solostar

A

4 units

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14
Q

how many units to prime for toujeo solostar

A

3 units

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15
Q

Above what length do we need to pinch the skin to insert needle

A

6 mm and above

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16
Q

reasons to use long needles

A

obese patient

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17
Q

U 100 cncentration

A

100 units/ml

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18
Q

pen and cartridge capacity for U 100

A

3 ml pen X 100 units= 300 units/pen and cartridge

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19
Q

how many units in a vial

A

1 vial is 1000 units

because 1 vial is 10 ml and 1 ml is 100 units

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20
Q

When pens/vials/cartridges are not in use, where should we put them? how long can they be used at room temperature mostly?

A

Not in use- store in refrigerator
when opened it is good for about a month

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21
Q

what is an insulin measurement device for visually impaired people

A

Count a dose

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22
Q

devices to overcome fear of needle

A

Tickleflex
Novofine
Autoshield Duo pen needles

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23
Q

devices for pain relief from injection

A

Buzzy
Shotblocker

24
Q

name of inhaled insulin

A

afrezza

25
Q

is afrezza rapid or slow

A

rapid

26
Q

adverse rxn for afrezza

A

Hypoglycemia
cough
throat pain

27
Q

contraindications for afrezza use? what pts is it not recommended in

A

COPD and asthma.
Not recommended in patients who smoke and have lung cancer

28
Q

What are some non-insulin injectables

A

GLP-1 agonist
GIP agonist
GLP-1 insulin combo

29
Q

What are some GLP-1 agonists

A

Mounjaro, victoza, ozempic, trulicity

30
Q

which GLP 1s are dosed BID

A

Byetta

31
Q

Which GLP 1 is dosed QD

A

Victoza

32
Q

Which GLP 1s are dosed weekly

A

Trulicity
ozempic
bydureon
Mounjaro

33
Q

dosing of bydureon

A

2 mg once weekly

34
Q

Dosing of byetta

A

5 mg BID x 1 month
then 10 mg BID if needed

35
Q

Dosing of mounjaro

A

2.5, 5, 7.5, 10, 12.5, 15, once weekly increase by 2.5 every month

36
Q

Dosing of ozempic

A

0.25, 0.5, 1 mg, 2 mg, once weekly increase dose by 0.25 every month

37
Q

dosing of trulicity

A

0.75, 1.5, 3, 4 mg once weekly increase every 4 weeks

38
Q

Dosing of victoza

A

0.6 mg, 1.2 mg 1.8 mg once daily

39
Q

GLP agonists with CVD benefits

A

Victoza, ozempic, trulicity

40
Q

GLP-1 and insulin combination devices

A

Soliqua, xultophy

41
Q

What do GLP-1 and insulin combo devices have inside of them? highest dose for them?

A

Long acting insulin and GLP-1 agonits. Max dose is the max dose for the GLP agonist

42
Q

Highest dose for soliqua

A

60 units SQ QD
20 mcg of lixesenatide

43
Q

Max dose of xultophy

A

50 units sq
(1.8 mg liraglutide)

44
Q

which GLP agonists are autoinjectors

A

Trulicity, bydureon, Mounjaro

45
Q

Which GLP agonists have pen needles included

A

Ozempic

46
Q

Which GLP agonists require patient to obtain pen needles separately

A

Byetta, victoza, soliqua and xultophy

47
Q

room temp stability for afrezza (opened and unopened)

A

3 days opened
10 days unopened

48
Q

Trulicity room temp stability

A

14 days

49
Q

Xultophy and mounjaro room temp stability

A

21 days

50
Q

Bydureon and solqua room temp stability

A

28 days

51
Q

Victoza and byletta room temp stability

A

30 days

52
Q

Ozempic room temp stability

A

56 days

53
Q

What are some patient factors that affect accuracy and interpretation of BG monitoring

A

med changes, food/exercise, exp date, temperature and humidity, user error

54
Q

alternate BG testing sites and when to use them

A

Should only be used in the mornings, fingerstick is only one appropriate for ppg, bedtime etc..

Forearm, upper arm, calf, thigh and palm

55
Q
A

Therapeutics P2 (41 decks)

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