Insulins Flashcards

1
Q

glipizide (Glucotrol)glyburide (Glynase)glimepiride (Amaryl)

A

2nd generation sulfonylureas

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2
Q

glipizide (Glucotrol)glyburide (Glynase)glimepiride (Amaryl)ACTION

A

Works to increase output of insulin by beta cells in pancreas

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3
Q

glipizide (Glucotrol)glyburide (Glynase)glimepiride (Amaryl)Nx Implications

A

Best taken 30 min prior to mealMain potential side effects: hypoglycemia with delayed or skipped meals or alcoholUse cautiously in elderly

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4
Q

metformin Glucophage

A

Biguanide

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5
Q

metformin GlucophageACTION

A

Decrease liver output of sugarIncrease peripheral insulin sensitivity

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6
Q

metformin GlucophageNx Implication

A

Kidney surveillance testing required (monitor serum creatinine)Contraindicated if pt has CHG, alcohol abuse, metabolic acidosis, liver or kidney disease, or > 80 years oldMain potential side effects: GI distress/diarrhea, lactic acidosisTake with foodDiscontinue after OR, dye studies for 48 hours or until kidney function normal

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7
Q

InsulinNx Implications

A

Monitor blood sugar levelWhen mixing, draw rapid acting first (clear before cloudy)

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8
Q

lispro Humalogaspart NovalogCLASS

A

Very rapid acting

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9
Q

lispro Humalogaspart NovalogACTION

A

Onset: 10 minPeak: 1hrDuration: 3-4hrs

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10
Q

lispro Humalogaspart NovalogNx Implication

A

Clear solutionGive 15 min prior to meal

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11
Q

Regular RCLASS

A

Short (rapid) acting

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12
Q

Regular RACTION

A

Onset: 30 minPeak: 3-5hrsDuration: 6-10hrs

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13
Q

Regular RNx Implication

A

Clear solutionGive 30 min prior to meal

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14
Q

NPHLenteCLASS

A

Intermediate acting

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15
Q

NPHLenteACTION

A

Onset: 1hrPeak: 6-12hrsDuration: 20-24hrs

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16
Q

NPH LenteNx Implication

A

Cloudy solutionRotate prior to use

17
Q

glargine LantusCLASS

A

Long acting

18
Q

glargine LantusACTION

A

Onset: 1hrPeak: No peakDuration: 24hrs

19
Q

glargine LantusNx Implication

A

Clear solutionDo not mix with others

20
Q

detemir LevemirCLASS

A

Long acting

21
Q

detemir LevemirACTION

A

Onset: 3-4hrsPeak: No peakDuration: 24hrs

22
Q

detemir LevemirNx Implications

A

Clear solutionDo not mix with others