Exam 3 - Products and Accessories Olenik Flashcards

1
Q

toujeo and levemir can be stored at room temp for how many days?

A

42 days

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2
Q

tresiba can be stored at room temperature for how many days?

A

56 days

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3
Q

the Humulin N Kwikpen can be stored at room temp for how many days?

A

14 days

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4
Q

insulin cartridges can be stored at room temp for how many days?

A

28 days

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5
Q

true or false: you can store electronic insulin pens in the fridge

A

false

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6
Q

two indwelling catheter injection ports to minimize sticks

A

-i-Port Advance
-insuflon

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7
Q

Novolog and Fiasp are brand names for which insulin?

A

Aspart

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8
Q

for insulin pens, prime with 2 units before every administration, except for

Humulin R U-500 Kwikpen: prime with ___ units
Toujeo Max SoloStar U-300: prime with ___ units
Toujeo SoloStar U-300: prime with ___ units

A

5; 4; 3

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9
Q

why do we not wipe the insulin needle with alcohol?

A

it removes the silicon coating

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10
Q

two GLP-1 agonists that have daily dosing

A

-byetta (exenatide IR - BID)
-victoza (liraglutide - QD)

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11
Q

four once-weekly GLP-1 agonists

A

-trulicity
-ozempic
-bydureon BCise (exenatide ER)
-mounjaro

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12
Q

what is important about the Genteel Lancing Device?

A

it is a lancing device that uses vacuum suction to pull the blood out more gently, leads to less pain

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13
Q

four different types of CGMS

A

-real-time
-intermittently scanned
-professional
-unblinded

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14
Q

ambulatory glucose profile (AGP) report

a. report that combines input from multiple days, displaying CGM data over a single 24-hour period
b. conversion of CGM-derived mean glucose to an estimate of the current A1C level when data from active CGM use is at least >70% during a 14 day time period

A

a. report that combines input from multiple days, displaying CGM data over a single 24-hour period

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15
Q

mean glucose management indicator (GMI)

a. report that combines input from multiple days, displaying CGM data over a single 24-hour period
b. conversion of CGM-derived mean glucose to an estimate of the current A1C level when data from active CGM use is at least >70% during a 14 day time period

A

b. conversion of CGM-derived mean glucose to an estimate of the current A1C level when data from active CGM use is at least >70% during a 14-day time period

(over the past 2 weeks of data, what is the estimated A1C)

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16
Q

how long is the sensor life for freestyle 2 and 3 sensors?

A

14 days

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17
Q

how long is the sensor life for dexcom G6 and G7?

A

10 days

18
Q

freestyle 2 and 3 interfering substance

A

vitamin C

19
Q

dexcom G6 and G7 interfering substance(s)

a. vitamin C
b. hydroxyurea
c. tetracycline, mannitol
d. acetaminophen

A

b. hydroxyurea

20
Q

Medtronic Guardian Connect interfering substance(s)

a. hydroxyurea
b. tetracycline, mannitol
c. acetaminophen
d. vitamin C

A

c. acetaminophen

21
Q

Eversense E3 CGM System interfering substance(s)

a. acetaminophen
b. tetracycline, mannitol
c. vitamin C
d. hydroxyurea

A

b. tetracycline, mannitol

22
Q

which CGM needs to be implanted?

A

Eversense E3 CGM system

23
Q

the Eversense E3 CGM system must be removed before what procedure?

A

MRI

24
Q

how long is the sensor life for the Medtronic Guardian Connect CGM?

A

7 days

25
Q

how long is the sensor life for the Eversense E3 CGM?

A

6 months

26
Q

which CGM is not FDA approved for treatment decisions?

a. Freestyle 2 and 3
b. Dexcom G6 and G7
c. Medtronic Guardian Connect
d. Eversense E3

A

c. Medtronic Guardian Connect

27
Q

5 medications for severe hypoglycemia

A

glucagon injection 1 mg
baqsimi 3 mg
glucagen hypokit (glucagon) for injection
zegalogue (dasiglucagon)
gvoke hypopen

28
Q

what are ketones?

A

acids produced from the breakdown of fat

29
Q

what type of insulin is used in insulin pumps?

A

rapid-acting insulin only

30
Q

insulin pump components: what does the pump do?

a. controls how much insulin is administered
b. inserts into the pump to hold the insulin
c. delivers the insulin from the reservoir to the body

A

a. controls how much insulin is administered

31
Q

insulin pump components: what does the reservoir do?

a. controls how much insulin is administered
b. inserts into the pump to hold the insulin
c. delivers the insulin from the reservoir to the body

A

b. inserts into the pump to hold the insulin

32
Q

insulin pump components: what does the infusion set do?

a. controls how much insulin is administered
b. inserts into the pump to hold the insulin
c. delivers the insulin from the reservoir to the body

A

c. delivers the insulin from the reservoir to the body

33
Q

calculate how many units of insulin a pt will need if:

current BG = 200 mg/dL
target BG = 110 mg/dL
I:C ratio = 1:12
correction factor = 1:10
They are about to consume 60 grams of carbs

A

14 units insulin

200-110 = 90
90/10 = 9 units (use correction factor)
60/12 = 5 units (use carb ratio)
9 + 5 = 14 units

34
Q

two modes for hydrid closed-loop system

A

manual and auto

35
Q

which mode in a hybrid closed-loop system requires a CGM?

a. manual
b. auto

A

b. auto

36
Q

in auto mode in a hybrid closed-loop system, basal is automatically adjusted every ___ minutes

A

5

37
Q

what is a square wave bolus?

A

delivers “normal” bolus over a longer period of time

38
Q

what is a dual wave bolus?

A

delivers an initial “normal” bolus followed by a square wave

(kind of a “2 in 1” release)

39
Q

Which patient(s) listed below would be considered a good candidate for insulin pump therapy?
A. 7 y.o. female with DM1 who is entirely insulin dependent
B. 45 y.o. male with DM2 who injects insulin glargine once daily
C. 68 y.o. female with DM2 who injects insulin ac & hs but is uncomfortable with technology
D. 29 y.o. male with DM2 who injects insulin ac & hs but routinely misses scheduled follow-up appointments

A

A. 7 y.o. female with DM1 who is entirely insulin dependent

40
Q

Which of the following insulins is indicated for use in insulin
pumps?
A. Novolin
B. Novolog
C. Lantus
D. Tresiba

A

B. Novolog

41
Q

Which component of the insulin pump is responsible for holding
the insulin? (hint: the “gas tank”)
A. The infusion set
B. The correction factor
C. The CGM
D. The reservoir

A

D. The reservoir