Exam 5 DM type 2 meds

Question 1

What is the action of glyburide?
(sulfonylureas)

Answer 1

Increases insulin secretion in the
pancreas

Question 2

What are indications of glyburide?
(sulfonylureas)

Answer 2

DM type II

Question 3

What are adverse effects of glyburide?
(sulfonylureas)

Answer 3

Hypoglycemia

Question 4

What are teaching points about glyburide?
(sulfonylureas)

Answer 4

Diet, weight control and exercise
programs
* Medic alert bracelet
* No alcohol

Question 5

Why would we give type II patients insulin?

Answer 5

• Oral antidiabetic medications, diet, and exercise are unable to
  control blood glucose levels.
• Severe renal or liver disease is present.
• Painful neuropathy is present.
• Undergoing surgery or diagnostic tests.
• Experiencing severe stress (infection and trauma).
• Undergoing emergency treatment of diabetes ketoacidosis
  (DKA) and hyperosmolar hyperglycemic nonketotic syndrome.
• Requiring treatment of hyperkalemia

Question 6

What is the first choice med for type 2?

Answer 6

metformin

Question 7

How do we avoid renal failure if we are performing a contrast test while taking metformin?

Answer 7

should be held at least 24 hours
before tests and 48 hours after tests with
contrast dye to avoid renal failure

Question 8

What are adverse effects of metformin?

Answer 8

EAST LIKELY DRUG to cause
hypoglycemia; Lactic acidosis (50% mortality); GI
upset (anorexia, N, D- weight loss); usually
subsides; Vit B12 and Folic acid deficiency

Question 9

How do we administer metformin PO?

Answer 9

with meals