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15 Cards in this Set
- Front
- Back
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Lispro(Humalog) or apart(Novolog)
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Rapid-acting- Clear- 15 min. premeal
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Regular( Humilin R)
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Short-acting- 30 mins premeal- clear-can be given IV or IM
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Lente and NPH
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intermediate-acting- 30-45 mins premeal- cloudy-
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Ultralente and glargine( Lantus)
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Long-acting- DO NOT MIX- prolonged use and control of consistent levels
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fixed-combination insulin
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one slow and one fast acting insulin that is pre mixed
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signs of hypoglycemia
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early: confusion, irriatbility, tremors, sweat
Late: hypothermia, seizure, coma/death |
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drug treatment for hypogycemia
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IV glucose: hos. setting
glucagon injection- rapid response Dazoxide- oral treatment often with pancreatic cancer |
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Normal blood glucose
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non-fasting- 70-100mg/dl
Fasting- 60-110mg/dl hypergylcemia- over 126mg/dl |
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glucose monitoring test
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HbA1c- hemogoblin A1c- normal is 4-6%
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drugs that alter glucose level
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albuterol, epinephrine-increase
corticosteriods-increase thiazide diuertic dilantin-increase alcohol-decrease |
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sulfonlylureas
( glipzide,glyburide) |
adverse- GI, hypoglycemia
cont- do not use alcohol, sulfa allergy stimulates pancreas to make more insulin |
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Meglitinide
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adverse- hypo-dizzy-weight gain-joint pain- URI
stimulate pancreas to make more insulin |
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Biguamide( metformin)
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adverse- GI, metallic taste, decrease B12
cont- iodine- elderly decrease glucose production by liver |
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Thiazolidinediones ( rosiglitazone)
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adverse- hepatotoxicity, fluid retention
decreases insulin resistance |
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Alpha-glucosidase inhibitors ( acarbose, miglitol
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adverse- GI, elevated hepatic enzymes
delays glucose absorption |
