Pharmacology for Professional Nursing NUR2474 Final Exam || || || || || || ||
with accurate detailed answers
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What types of insulins are usually given before meals?
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Regular and Glargine || ||
Why is Glargine (lantus) given at bedtime?
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sugar drops overnight.
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What type of insulin is sometimes given at bedtime, has the longest durations of all the
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insulin, CANNOT be mixed with other insulins, and for elderly patients is often split into
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two doses. AM and PM?
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Insulin Glargine (Lantus) || ||
Why is a nurse concerned for a beta-blocker/insulin combination?
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Beta blcokers can mask some of the symptoms of hypoglycemia.
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What do you asses for in patient's taking beta blockers while on insulin.
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- symptoms of hypoglycemia
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-feeling shaky ||
,2
-being nervous or anxious
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-sweating, chills and clamminess || || ||
-irritability or impatience || ||
-confusion
-fast heartbeat
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-feeling lightheaded or dizzy
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-hunger
-headache
rapid-acting insulins ||
Lispro (Humalog) ||
Onset of Lispro (rapid-acting)
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less than 15 min
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,2
Short-acting insulin ||
Regular (Humulin R) || ||
Intermediate-acting insulin ||
NPH insulin (Humulin N)
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Long-acting insulin ||
glargine (Lantus) ||
detemir (Levemir) ||
Steps to do after a patient is hypoglycemic?
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1. check blood sugar
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2. give simple carbs
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3. if unable to swollow give glucagon
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4. for IV access give Dextrose D50W
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How does Glipizide work?
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Lowers blood sugar by causing the pancreas to produce insulin, needed to break down
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sugar in the body and helping the body use insulin efficiently.
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, 2
How to diagnose Diabetes type 2?
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- no end organ damage
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-less than five years
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What classification is Glipizide?
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-anti-diabetic
-oral hypoglycemic
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What are the side/adverse effects of Glipizide?
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diarrhea
constipation
headache
hypoglycemia
nausea
vomiting
upset stomach ||
loss of appetite
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