WEEK 7 & 8 ANTIDIABETIC DRUGS Flashcards

1
Q

Name one example of an alpha-glucosidase inhibitor

A

acarbose (Glucobay)

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2
Q

What is another term for alpha-glucosidase inhibitors?

A

Starch blockers

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3
Q

What is the action of alpha-glucosidase inhibitors?

A

Inhibits the enzyme alpha-glucosidase to prevent the breakdown of starch into glucose

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4
Q

What is the therapeutic effect of alpha-glucosidase inhibitors?

A

Lowers postprandial blood sugar

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5
Q

Name 2 side effects of alpha-glucosidase inhibitors

A
  1. Flatulence
  2. GI upset
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6
Q

Name one example of a biguanide

A

metformin (Glumetza)

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7
Q

Name 3 actions of biguanides

A
  1. Inhibits hepatic glucose production
  2. Inhibits intestinal glucose absorption
  3. Increases insulin sensitivity
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8
Q

What are 2 side effects of biguanides?

A
  1. GI upset
  2. Metallic taste
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9
Q

What are 2 reasons the nurse should hold a biguanide drug?

A
  1. Patient receiving iodinated contrast
  2. Patient is not eating/drinking
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10
Q

Name 1 example of an incretin mimetic

A

exenatide (Byetta)

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11
Q

What are 4 actions of incretin mimetics?

A

Mimics action of incretin:
1. Increases insulin secretion
2. Decreases glucagon
3. Decreases gastric emptying
4. Increases satiety

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12
Q

What are 3 side effects of incretin mimetics?

A
  1. GI upset and weight loss
  2. Headache
  3. Hypoglycemia
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13
Q

What are 2 contraindications for incretin mimetics?

A
  1. Pancreatitis
  2. Severe GI disease
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14
Q

What are 2 guidelines for administration of incretin mimetics?

A
  1. Immediate release forms cannot be taken after meals
  2. Keep refridgerated
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15
Q

Name 2 examples of meglitinides

A
  1. repaglinide (Gluconorm)
  2. nateglinide (Starlix)
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16
Q

What is another term for meglitinides?

A

Nonsulphonylureas

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17
Q

What is the action of meglitinides?

A

Stimulates beta cells of pancreas to release insulin

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18
Q

What is one side effect of meglitinides?

A

Hypoglycemia

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19
Q

What is one contraindication for meglitinides?

A

Patient is not eating/drinking

20
Q

What are 2 guidelines for administering meglitinides?

A
  1. Take up to 30 minutes before eating
  2. Doses may be added/skipped as needed with meals
21
Q

Name 2 examples of sulphonylureas

A
  1. glyburide (Diabeta)
  2. gliclazide (Diamicron)
22
Q

What is another term for sulphonylureas?

A

Insulin secretagogues

23
Q

Name 2 actions of sulphonylureas

A
  1. Stimulates release of insulin
  2. Increases insulin sensitivity
24
Q

Name 2 side effects of sulphonylureas

A
  1. Weight gain
  2. Hypoglycemia
25
Name a contraindication for sulphonylureas
Allergy to sulpha drugs
26
What is one guideline to remember when administering sulphonylureas?
High alert medication
27
Name 1 example of a thiazolidinedione
pioglitazone (Actos)
28
What are 2 other terms for thiazolidinediones?
1. Glitazones 2. Insulin sensitizers
29
What is the action of thiazolidinediones?
Acts as an agonist for insulin at receptor sites
30
Name 3 side effects of thiazolidinediones
1. Edema 2. Weight gain 3. CHF
31
Which insulin is rapid acting?
Insulin lispro
32
What is the brand name for insulin lispro?
Humalog
33
When is the peak of action for insulin lispro?
60-90 min
34
Which insulin is short acting?
Insulin regular
35
What is the brand name for insulin regular?
Humulin R
36
What are 2 routes for insulin regular?
SC or IV
37
What is the peak of action for insulin regular?
2-4 hr
38
Which insulin is intermediate acting?
NPH insulin
39
What is the brand name for NPH insulin?
Humulin N
40
What is the peak of action for NPH insulin?
6-8 hr
41
What are 2 examples of long acting insulin?
1. Insulin glargine 2. Insulin detemir
42
What are 3 brand names for insulin glargine?
Lantus Basaglar Toujeo
43
What is the brand name for insulin detemir?
Levemir
44
When is the peak of action for long acting insulins?
None
45
For premixed insulins like Humulin 30/70, what do the numbers indicate?
First number is regular insulin, second number is NPH insulin