3/23/25, 7:44 FNP 3 module 4 Flashcards |
AM
FNP 3 MODULE 4 EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED
Terms in this set (137)
every adult - starting at age 45
- then every 3 years if normal
when to start screening for diabetes
- if BMI ≥ 25 and on
or more risk factors for DM - screen annually
age ≥ 45,
DM risk factors BMI ≥ 25,
family hx,
1) A1C ≥ 6.5%;
AACE's Diagnostic criteria for DM
2)FPG ≥ 126 (fasting for 8 hours);
BG 100-125 - must be confirmed on a subsequent day (this is pre-diabetes);
pre-diabetes
European or pregnant: 2-hour postprandial glucose of 140-199 after the OGTT;
impaired fasting glucose (IFG), impaired
glucose tolerance (IGT)
A1C of 5.7 - 6.4%
reduces A1C by 1-2% - top choice for oral tx unless contraindication
metformin reduces CV risks!!
slgp-2 and glp-1 also reduce cv risk
what is the mechanism of action of reduces hepatic glucose production and enhances action of insulin
metformin
Metformin reduces ...all cause mortality
what are the 2 most common side diarrhea and flatulence
effects of metformin
ADA'S: what should blood sugar be 1- 130-<180 - know!
2 hours after eating <140-KNOW!
ACE'S:
ADA : have a fasting blood glucose in A1c 7% 80 - <130 - know!
the morning that they will accept A1c 6.5% <110
anywhere between
AACE'S:
yearly foot exam for diabetics every visit
unless PAD or neuropathy and
then do
how often to do dilated eye exam in DM2-annually at onset/diagnosis
diabetics DM 1-after 5 years of dx
how often to do dental exam in annually (periodontal dz is more severe in patients with DM)
diabetics
how often to do fasting lipid profile in annually
diabetics?
A1Cevery 3-6 months (goal is < 7%)
CMP( serum creatinine, eGRF, LFT)
how often to do A1C in Spot Urine( microalbumin)-need to control their
diabetics? what labs? HTN Fasting Lipids-complete panel
If they have dyslipidemia-get TSH
women >50yoa
1/10
, 3/23/25, 7:44 FNP 3 module 4 Flashcards |
AM
how often to do urinary albumin to DM 2=annually
creatinine ratio in diabetics
how often to do serum creatinine in initially and then as indicated depending on renal status
diabetics
risks and sx of eye issues with diabetics microaneurysms, red dots - can leak and reduce vision; hemorrhages, fatty exudates
when you see ancanthosis nigricans, insulin resistance
always think
what class is metformin biguanide
Mechanism of action: enhances insulin release
what are some examples of "The low, fatty ide's" glimepiride, glipizide, glyburide( cause weight gain
sulfonyureas and low BS) glyburide:USE IN CAUTION sulfa allergies)
Dpp-4 inhibitors - januvia (sitagliptin) - no generics available so not for
diabetic drugs ending in gliptins are
use with fixed budget pts
2 most common side effects of hypoglycemia, weight gain
sulfonyureas
sulfonylureas are very cheap if your so if the patient is on a fixed budget and can take it, it is a good choice
skinny and poor
Mechanism of action: RX stimulates insulin production in a response to
increasing plasma glucose &
copy the functions of incretin hormones
$$$
GLP-1 diabetic meds are administered"
incretin frank sinatra style" "I've got you...under my skin"-sub Q (Byetta, victoza) 1x a week
SE is bloating
- increase production of insulin - help with wt loss
"all that glita gonna stop your heart"
TZDs for diabetes black box warning - contraindicated with heart
(ploglitazone, rosiglitazone) failure and watch out DPP-4's CHF
Check ALT periodically
when should you consider insulin as when fasting glucose is ≥ 250; when A1C > 9%; after maxing out orals; is
initial choice sx of hyperglycemia; pregnant patients; consider it EARLY!
what BG value should be used to AM fasting
determine need for long-acting
insulin
either 10 units once daily - OR 0.2 units/kg/day once daily - start with
KNOW dosing for basal insulin
bolus dose at bed time
when to increase basal insulin and by if AM FBG > 180, then add 2-3 units per day until fasting glucose is at goal
how much
glimepridie is what med class sulfonyurea
if mealtime insulin needs to be initiate short acting insulin with largest meal of the day - it holds glucose
added, what is best strategy down and gives the insulin more "traction"
A 78 year-old has been diagnosed dizziness and weakness (in older adults, hypoglycemic episodes are more
with diabetes about 10 years ago. An likely to be mistaken for cardiac or neuro events)
older adult with a hypoglycemic
episode is more likely to exhibit:
what are the most common sx that tremors and sweating
younger adults exhibit with
2/10
AM
FNP 3 MODULE 4 EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED
Terms in this set (137)
every adult - starting at age 45
- then every 3 years if normal
when to start screening for diabetes
- if BMI ≥ 25 and on
or more risk factors for DM - screen annually
age ≥ 45,
DM risk factors BMI ≥ 25,
family hx,
1) A1C ≥ 6.5%;
AACE's Diagnostic criteria for DM
2)FPG ≥ 126 (fasting for 8 hours);
BG 100-125 - must be confirmed on a subsequent day (this is pre-diabetes);
pre-diabetes
European or pregnant: 2-hour postprandial glucose of 140-199 after the OGTT;
impaired fasting glucose (IFG), impaired
glucose tolerance (IGT)
A1C of 5.7 - 6.4%
reduces A1C by 1-2% - top choice for oral tx unless contraindication
metformin reduces CV risks!!
slgp-2 and glp-1 also reduce cv risk
what is the mechanism of action of reduces hepatic glucose production and enhances action of insulin
metformin
Metformin reduces ...all cause mortality
what are the 2 most common side diarrhea and flatulence
effects of metformin
ADA'S: what should blood sugar be 1- 130-<180 - know!
2 hours after eating <140-KNOW!
ACE'S:
ADA : have a fasting blood glucose in A1c 7% 80 - <130 - know!
the morning that they will accept A1c 6.5% <110
anywhere between
AACE'S:
yearly foot exam for diabetics every visit
unless PAD or neuropathy and
then do
how often to do dilated eye exam in DM2-annually at onset/diagnosis
diabetics DM 1-after 5 years of dx
how often to do dental exam in annually (periodontal dz is more severe in patients with DM)
diabetics
how often to do fasting lipid profile in annually
diabetics?
A1Cevery 3-6 months (goal is < 7%)
CMP( serum creatinine, eGRF, LFT)
how often to do A1C in Spot Urine( microalbumin)-need to control their
diabetics? what labs? HTN Fasting Lipids-complete panel
If they have dyslipidemia-get TSH
women >50yoa
1/10
, 3/23/25, 7:44 FNP 3 module 4 Flashcards |
AM
how often to do urinary albumin to DM 2=annually
creatinine ratio in diabetics
how often to do serum creatinine in initially and then as indicated depending on renal status
diabetics
risks and sx of eye issues with diabetics microaneurysms, red dots - can leak and reduce vision; hemorrhages, fatty exudates
when you see ancanthosis nigricans, insulin resistance
always think
what class is metformin biguanide
Mechanism of action: enhances insulin release
what are some examples of "The low, fatty ide's" glimepiride, glipizide, glyburide( cause weight gain
sulfonyureas and low BS) glyburide:USE IN CAUTION sulfa allergies)
Dpp-4 inhibitors - januvia (sitagliptin) - no generics available so not for
diabetic drugs ending in gliptins are
use with fixed budget pts
2 most common side effects of hypoglycemia, weight gain
sulfonyureas
sulfonylureas are very cheap if your so if the patient is on a fixed budget and can take it, it is a good choice
skinny and poor
Mechanism of action: RX stimulates insulin production in a response to
increasing plasma glucose &
copy the functions of incretin hormones
$$$
GLP-1 diabetic meds are administered"
incretin frank sinatra style" "I've got you...under my skin"-sub Q (Byetta, victoza) 1x a week
SE is bloating
- increase production of insulin - help with wt loss
"all that glita gonna stop your heart"
TZDs for diabetes black box warning - contraindicated with heart
(ploglitazone, rosiglitazone) failure and watch out DPP-4's CHF
Check ALT periodically
when should you consider insulin as when fasting glucose is ≥ 250; when A1C > 9%; after maxing out orals; is
initial choice sx of hyperglycemia; pregnant patients; consider it EARLY!
what BG value should be used to AM fasting
determine need for long-acting
insulin
either 10 units once daily - OR 0.2 units/kg/day once daily - start with
KNOW dosing for basal insulin
bolus dose at bed time
when to increase basal insulin and by if AM FBG > 180, then add 2-3 units per day until fasting glucose is at goal
how much
glimepridie is what med class sulfonyurea
if mealtime insulin needs to be initiate short acting insulin with largest meal of the day - it holds glucose
added, what is best strategy down and gives the insulin more "traction"
A 78 year-old has been diagnosed dizziness and weakness (in older adults, hypoglycemic episodes are more
with diabetes about 10 years ago. An likely to be mistaken for cardiac or neuro events)
older adult with a hypoglycemic
episode is more likely to exhibit:
what are the most common sx that tremors and sweating
younger adults exhibit with
2/10
