Thyroid & Diabetes Agents Spark notes Flashcards

1
Q

Assessment for Thyroid agents and anticoags

A
  • Levothyroxine increased the effectiveness of anticoags
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2
Q

Priority AE for semaglutide

A
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3
Q

Pioglitazone and medication interactions

A
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4
Q

Rapid Insulin names

A

Novalog/Humalog
Onset: 15mins
Peak: 1-2hrs
Duration: 2-4hr

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5
Q

Regular/short acting insulin names

A

Humulin R/ Novolin R
Onset: 30 mins
Peak: 2-3 hr
Duration: 3-6 hr

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6
Q

Intermediate insulin names

A

Humulin N/ Novolin N
Onset: 2-4 hr
Peak: 4-12 hr
Duration: 12- 18 hr

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7
Q

Long acting insulin names

A

CANT BE MIXED WITH OTHER INSULINS

Levemir/Lantus/ Toujeo
Onset: 2-4 hr
Peak: No peak
Duration: Up to 24 hrs

Tresiba
Onset: 1 hr
Peak: 9 hr
Duration: 42 hr

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8
Q

Agents to treat hypoglycemia

A
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9
Q

Insulin and medication interactions

A
  • BETA BLOCKERS (mask hypoglycemic signs)
  • ALOE VERA, JUNIPER BERRIES, CINNAMON, GINSENG, GARLIC, DANDELION ROOT)
  • Any meds that decrease glucose levels
  • Salicylates
  • Alcohol
  • Thiazide diuretics/ Glucocorticoids
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10
Q

Appropriate cases to give insulin

A
  • T1DM
  • T2DM in adults w/ no response to diet, exercise, and other agents
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11
Q

Inappropriate cases to give insulin

A
  • First line for T2Dm
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12
Q

Antidiabetic agents for prego people

A
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13
Q

Antidiabetics for reproductive conditions

A
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14
Q

Canagliflozin side effect teachings

A
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15
Q

Diazoxide and medication allergies teachings

A
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16
Q

Levothyroxine teachings

A
  • Take 30-60 mins before meals on an empty stomach without any other medications
  • Take with a full glass of water to avoid difficulty swallowing
  • Older people need lower doses of it
  • Monitor for thyrotoxicosis (Anxiety, difficulty concentrating, tremors, difficulty with BMs
  • Increases the effectiveness of anti coags
17
Q

GLP-1 Indications

18
Q

Potassium iodide and medication interactions

A
  • FOODS HIGH IN IODINE
    (fish, prunes, seaweed, shellfish, lima beans, dairy products)
  • Anticoags
    -Theophylline
  • Digoxin
  • Metoprolol, Propranolol
  • Other antithyroid meds
19
Q

Signs of levothyroxine OD

A

Thyrotoxicosis

  • Anxiety
  • Difficulty concentrating
  • Difficulty w/ BMs
  • Tremors
20
Q

PTU mechanism of action

A
  • Prevents formation of thyroid hormone in thyroid cells, lowering the serum levels
  • partially inhibits conversion of T4 to T3
21
Q

Insulin and lab values

22
Q

Glipizide teachings

23
Q

First like med for T2DM

24
Q

Canagliflozin AE