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8 Cards in this Set
- Front
- Back
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What are the four main actions of glucocorticoids?
(pg. 51) |
1. Change in mood
2. Alter defense mechanisms 3. Breakdown protein & fat 4. Inhibits insulin (BG up) |
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What do steroids do to K+? Na+? protein? Ca++?
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K+ DOWN
Na+ UP Protein DOWN Ca++ DOWN |
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In pts on prednisone, why are bones brittle?
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Ca++ is secreted thru GI tract so the body pulls Ca++ from the bone. If on long-term trtment, body *constantly* pulling from bone!
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What is usually the first sign of DM-1?
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DKA: Body brking down protein and fat for energy
--> ketones --> metabolic acidosis --> lungs try to compensate with Kussmauls. S/S: 1. polyuria --> SHOCK 2. polydipsia 3. polyphagia |
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What are the rapid-acting insulins?
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Novolog
ONSET: 15 mins PEAK: 1-3 hrs DURATION: 3-5 hrs Humalog ONSET: 15 mins PEAK: 30-90 min DURATION: 3-4 hrs |
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What are the short-acting insulins?
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Regular insulins
Humulin R ONSET: 30 mins PEAK: 2-4 hrs DURATION: 6-8 hrs Novolin R ONSET: 30 mins PEAK: 2.5-5 hrs DURATION: 8 hrs |
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What are the intermediate-acting insulins?
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NPH
ONSET: 90 mins PEAK: 4-12 hrs DURATION: 24 hrs Lente ONSET: 2.5 hrs PEAK: 7-15 hrs DURATION: 22 hrs Ultralente: ONSET: 4-6 hrs PEAK: 8-20 hrs DURATION: 28 hrs |
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What are the long-acting insulins?
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Lantus (glargine)
ONSET: 2-4 hrs PEAK: ***none*** DURATION: 24 hrs |
