Pharmacy teaching_ insulin Flashcards
1
Q
What are the different effects of insulin?
A
- increase glucose uptake into fat muscle
- stimulates glycogen synthesis
- stimulates triglycerides storage in adipose tissue
- increases protein synthesis
- decreases hepatic gluconeogenesis
- prevents ketogenesis
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2
Q
Pathophysiology of DKA
A
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3
Q
Examples of long-acting insulin
A
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4
Q
Example of ultralong insulin
A
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5
Q
Examples of intermediate insulin
A
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6
Q
Examples of short-acting insulin
A
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7
Q
Examples of rapid-acting insulins
A
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8
Q
Which (2) insulins would we use to treat high K+?
A
- Actrapid
- Humulin S
As these are soluble insulins
9
Q
What’s pre-mixed insulin?
A
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10
Q
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A
e) multiple daily injections → basal - bolus
Reasons
- mimics body’s natural insulin release
11
Q
Describe basal-bolus regimen
A
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12
Q
What (other than basal-bolus) insulin regimes are there?
A
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13
Q
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A
Remember to:
- prescribe by brand
- indicate device and its strength
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14
Q
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A
dinner and bedtime ones are too high
*e.g. lunchtime BM reading relies on breakfast dose
To adjust the dose we look at:
- trends over a couple of days (aim for <15)
- only adjust one dose at a time by 10-20% (1-2 units)
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15
Q
Causes of increased insulin requirements
A
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