Questions and Answers (FULL EXAM)
1). Rapid acting insulin
Ans: - Onset: 15 minutes
- Peak: 1.5 hours
- Duration: 3 hours
- Ex: Lispro (Humalog), Aspart (Novolog), Gliulisine (Apidra)
2). Short acting insulin
Ans: - Onset: 30 minutes
- Peak: 3 hours
- Duration: 6 hours
- Ex: Regular (Humulin R), Regular (Novolin R)
3). Intermediate acting insulin
Ans: - Onset: 60 minutes
- Peak: 6 hours
- Duration: 12 hours
- Ex: NPH (Humulin N), NRP (Novolin N)
4). Long acting insulin
Ans: - Onset: 120 minutes
- Duration: 24 hours
- Ex: Detemir (Levamir), Glargine (Lantus)
5). Therapeutic response anti-diabetic therapy
Ans: - fasting blood glucose 70-100 mg/dl
- hemoglobin A1c < 6.5%
6). Signs of low blood glucose
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, Ans: - < 70 mg/dl
- confusion
- irritability
- sweating
- give oral glucose (ie. apple juice, candy, etc)
7). Hemoglobin a1c
Ans: - % of blood glucose bound to hemoglobin
- when blood sugar is not controlled it builds up in the blood and binds to hemoglobin
- provides info on the average level of blood sugar control over the past 2-3 months
8). Hemoglobin
Ans: - oxygen carrying capacity of the blood cells
9). Hypoglycemia
Ans: - If patient becomes unconscious, give IV D50W (Dextrose 50% and water)
10). Glucagon im
Ans: - used in emergency at HOME to treat hypoglycemia from insulin over dose
11). Iv corticosterioids
Ans: - can increase glucose levels
12). Glucocorticoids
Ans: - secreted by adrenal glands
- Side effects: Edema, gastric irritation, hyperglycemia, osteoporosis
13). Type 1 dm
Ans: - Pancreas not releasing insulin
- requires insulin therapy
14). Insulin therapy
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