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36 Cards in this Set
- Front
- Back
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Insulin Lispro
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Rapid Acting
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Insulin Aspart
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Rapid Acting
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Insulin Glulisine
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Rapid Acting
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Regular Insulin
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Short Acting
Soluble Crystalline Zinc Insuline |
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Semilente Insulin Suspension
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Intermediate Acting Insulin
Amorphous Precipitate (acts as depot that is released slowly) |
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Isophane Insulin Suspension (Neutral Protamine Hagedorn)
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Intermediate Acting Insulin
Crystalline Zinc Insulin suspended w/ Protamine |
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Lente Insulin
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Intermediate Acting Insulin
Mixture of Semilente and Ultralente |
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Ultralente Insulin
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Long Acting Insulin
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Protamine Zinc Insluin Suspension
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Long Acting Insulin
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Insulin Glargine
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Long Acting Insulin
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Insulin Detemir
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Long Acting Insulin
(added a FA to make depot) |
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Basal Bolus Insulin Regimen
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One daily shot of Glargine or Detemir (Long Acting Insulin)
After each meal, add Lispro, Aspart, Glulisine (Rapid Acting Insulin) |
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Insulin Pump Insulin Regimen
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Best Way
Computerized Pump Delivers Predetermined amount of Insulin |
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DOC Ketoacidosis Emergency
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Regular Insulin (short acting insulin)
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Most Common Drugs causing Hypoglycemic (so be careful when giving insulin)
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Ethanol, Beta Blockers, Salicylates
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Manage Hypoglycemia
1)Mild 2)Severe with Unconsciousness |
1)Orange Juice, Sugar containing food/beverage
2)IV Glucose Infusion (if IV not available, give Glucagon SC or IM) |
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Tolbutamide
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1st Gen Sulfonylurea
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Chlorpromaide
1)AE |
1st Gen Sulfonylurea
1)Hyperemic Flush w/ alcohol (because inhibits aldehyde dehydrogenase) Hypoglycemia in elderly |
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Repaglinide
1)AE |
Meglitinide
1)Hypoglycemia Weight Gain (d/t Inc insulin release) |
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Nateglinide
1)AE |
Meglitinide
1)only Weight Gain |
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Metformin
1)AE |
Insulin Sensitizer
1)Fatal Lactic Acidosis (in alcoholics and kidney/liver problems) Interfere w/ B12 absorption -> dec B12 |
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DOC Type 2 DM
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Metformin
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Pioglitazone
1)lipid profile |
Glitazone
MORE FAVORABLE GLITAZONE 1)Inc HDL and Dec TAG |
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Rosiglitazone
1)Lipid Profile |
Glitazones
1)Inc HDL, Inc LDL, No effect on TAG |
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Acarbose
1)AE |
Alpha Glucosidade Inhibitor
1)Must Monitor Liver Function |
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Miglitol
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Alpha Glucosidade Inhibitor
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Exenatide
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Incretin Analogue (analog of GLP-1)
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Sitagliptin
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Inhibitor of Dipeptidyl Peptidase 4 (DPP4)
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Pramlintide
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Amylin Analogue
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Colesevelam
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Bile Acide Sequestrant (dec LDL)
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Algorithim for Type 2
1)Step 1 2)Step 2 3)Step 3 |
1)Lifestyle and Metformin
2)If HbA1C >7% = Add Second Agent (Insulin or Sulfonylurea) If HbA1C >8.5% = Add Insulin 3)If goal for glycemia not reached, intensify insulin therapy |
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DOC Pregnancy
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Regular Insulin
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DOC Severe Hypoglycemia in those with Type 1 DM
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Glucagon
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DOC Endocrine Diagnosis (how many Beta Cells pancreas has left)
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Glucagon
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DOC Antidote for Beta Blocker Poisoning
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Glucagon
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DOC Radiology of Bowel
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Glucagon (relaxes Intestine)
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