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Pharmacology-NRSE-3010-001 > Exam 5 part 2 > Flashcards

Exam 5 part 2 Flashcards

1
Q

What type of drug is glimepiride?

A

sulfonylureas

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2
Q

When does NPH peak?

A

6-14 hrs

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3
Q

Patients taking sulfonylureas (glipizide, glimepiride) should avoid ______?

A

alcohol (disulfiram-like reaction)

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4
Q

What is an example of a 15 g carb snack that a pt experiencing hypoglycemia should have?

A

4 oz of orange juice

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5
Q

The use of this medication in diabetics may cause hyperglycemia?

A

glucocorticoids,systemic decongestants

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6
Q

How must insulins be administered?

A

injections

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7
Q

What lab gives an estimated glucose of the past 3 months?

A

HgB A1C

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8
Q

What is an example of intermediate-acting insulin?

A

NPH

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9
Q

Increased thirst, hunger, and urine output may be symptoms of what?

A

hyperglycemia

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10
Q

Which anatomical region has the most consistent absorption for insulin?

A

abdomen

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11
Q

What type of insulin should be drawn up first when mixing insulins?

A

clear

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12
Q

What are 2 reasons that a pt with type 2 DM may require insulin?

A

illness and trauma

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13
Q

What method can be used to give insulin based on current blood sugar level?

A

sliding scale

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14
Q

Lispro has an onset of?

A

15 mins

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15
Q

What type of insulins are detemir and glargine?

A

long acting insulins

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16
Q

How should unopened insulin vials be stored?

A

refrigeration

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17
Q

Regular insulin is _______ acting?

A

short acting

18
Q

What may occur if a pt doesn’t rotate injection sites?

A

lipohypertrophy

19
Q

What is the most common side effect of insulins?

A

hypoglycemia

20
Q

Insulin promotes the use of _____ by the body cells?

A

glucose

21
Q

Which insulin can be given IV?

A

regular

22
Q

Which diabetic drugs should not be given for those with a sulfa allergy?

A

sulfonylureas (glipizide)

23
Q

Lispro is a _______ acting insulin?

A

rapid acting

24
Q

This is used for hypoglycemic unconscious pts?

A

glucagon

25
Q

What symptoms may indicate hyperthyroidism in those taking levothyroxine?

A

palpitations, excessive sweating, and tachycardia

26
Q

What time frame should the nurse educate the pt to take levothyroxine?

A

before breakfast

27
Q

What conditions should a nurse identify on the patients chart as contraindications to oral contraceptive therapy?

A

estrogen-dependent cancers, thrombophlebitic disorders, pregnancy

28
Q

What pt teaching is appropriate for alendronate (bisphosphonate for osteoporosis?

A

take w/8oz water, take when waking up in morning, stay upright for at least 30 mins

29
Q

What may indicate medication therapy is effective with desmopressin?

A

decreased urine output

30
Q

This is a hyperglycemic hormone that stimulates glycogenolysis?

A

glucagon

31
Q

How does glipizide work?

A

increases insulin production

32
Q

Because lispro is rapid acting, what intervention should the nurse implement after administering this type of insulin?

A

make sure the client eats the food on the meal tray at the bedside

33
Q

What type of medications act on the cough control center of the medulla?

A

antitussives

34
Q

These medications loosen bronchial secretions so they can be removed by coughing?

A

expectorants

35
Q

How does montelukast work?

A

decreases mucus, inflammation and bronchoconstriction

36
Q

This is the most common side effect of bronchodilators?

A

tremors

37
Q

This greatly increases the metabolism of theophylline?

A

smoking

38
Q

This drug is considered second line treatment of bronchoconstriction?

A

theophylline

39
Q

What may first generation antihistamines cause in adults?

A

confusion

40
Q

What should be avoided by those taking nasal decongestants?

A

caffeine

Pharmacology-NRSE-3010-001 (12 decks)

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