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21 Cards in this Set
- Front
- Back
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over time diabetes may progress to the point where not enough beta cells remain and insulin therapy becomes |
permanent |
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regardless of what drugs are used for type 2 diabetes the best control would be |
diet and exercise |
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what are the 5 classifications of oral antidiabetic drugs |
sulfonylureas, meglitinide, biguanides, alpha glucosidase inhibitors, and glitazones |
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sulfonylureas action is to trigger pancreatic beta cells |
to release small amounts of performed insulin |
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meglitinide action is to stimulate brief |
burst like release of insulin within 30-60min |
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biguanides act on liver to reduce release of glucose |
from stored glycogen, reduce reabsorption of glucose from intestinal tract |
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alpha-glucosidase inhibitors, inhibit the enzyme that breaks carbs down to |
glucose |
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glitazones increase cell sensitivity to insulin and act on liver to reduce release of glucose from |
stored glycogen |
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rapid acting insulin |
lipro, aspart, glulisine |
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the nurse will instruct the patient to rotate injection sites for insulin to minimize the risk of developing |
scar tissue
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prefilled pens and cartridges of insulin detemir should be stored t
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room temp |
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list 3 challenges to mantaining good control over blood glucose levels in pediatric patients |
dislike of needles, dislike of being different from friends, differences in types and amounts of foods, differences in daily exercises |
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what effects are the two trimesters of pregnancy likely to have on the insulin needs of a patient with diabetes |
overall increase |
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which conditions can result from poorly controlled diabetes |
increase risk for infection, eleveated cholesterol levels, kidney failure |
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a patient with diabetes who takes glucophage(metformin) has postoperative orders to resume all pre-op medications, what is the priority action of the nurse |
contact the prescriber to obtain an order to hold the glucophage (metformin) for 48hrs. |
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a 68 year old patient who is taking actose will have which laboratory test done for follow up |
alanine transaminase (ALT) |
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patient has been prescribed Byetta. which patient startement indicates a correct understanding of the use of this drug |
i should keep this medicine in the refrigerator not the freezer |
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at 10am a patient who was given an injection of humulin r at 730am is anxious, has cool clammy skin and noticeable hand tremors. what is the most likely explanation of these symptoms |
insulin is having its peak effect causing hypoglycemia |
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which is the best action to ensure proper dosing before administering 50 units of humulin n |
use a 50 unit or 100 unit syringe |
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which approach to patient teaching is most likely to be effective for a newly diagnosed patient with type 1 diabetes |
ask the patient and the patients care giver to repeat the steps back to you |
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a patient is prescribed avandia the nurse should monitor for which adverse effect associated specifically with this drug |
heart failure
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