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29 Cards in this Set
- Front
- Back
Meglitinides (prandin, Starlix)
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Increase insulin from pancreas
decreased chance of low BS mimics normal BS response Take 30 min before meals |
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Thiazolidinediones (actos, avandia)
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Insulin sensitizers
help people w/ insulin resistance improves insulin sensitivity May help lipid levels transport and use at target tissues |
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Sulfonureas (Glyburide, Glucotrol, Glynase, Amaryl, Diabeta, Micronase)
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Used early in Type 2
Increases insulin by pancreas after prolonged use, some pts. may have decreased effectiveness. 2nd generation more potent, more expansive |
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Alpha Glucosidase inhibitors
(Precose, Glyset) |
Starch blockers- slows absorp. of CHO in small intestine. Take w/ first bite of meal.
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Biguinides ( metaformin, Glucophage)
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Reduces glucose produced by liver. Helps insulin sensitivity at tissues, helps glucose get into cells. Helps lipid levels. Can treat prediabetes. Used alone or with sulf. or insulin.
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Dawn Phenomenon
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Treatment- timing or adjustment of insulin or increase insulin
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Somogyi Effect
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less insulin
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Humalog, Nololog, Apidra
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Rapid acting
Peaks 60-90 min |
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Humulin R,, Novolin R, Relion R, Reg
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Short Acting
Peaks 2-3 hrs clear |
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NPH, Humilin N, Novolin N, Relion N
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Intermediate
Peaks 4-10hrs cloudy |
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Lantus, Levimir
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Long acting
clear no peak |
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Metered dose inhaler
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shake well
spacer with coricosteroids often 2 dose use water for cleaning |
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Dry Powder Inhaler
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do not shake
no spacer preloaded forms include counter often one dose avoid moisture |
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Green Zone
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80-100% of personal best
good control |
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Yellow Zone
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50-79% of personal best
caution: asthma getting worse add quick relief meds |
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Red Zone
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below 50% of personal best
add/increase quick relief meds call health provider now |
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salumeterol (serevent)
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long acting beta adrenergic agonist
S/E tremor HA dizziness sore throat |
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Albuterol (Proventil)
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B- adrenergic agonist short acting
nervousness,tremors, hypokalemia inhaled |
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epinepherine, isoproteronol, metaproterenol(Alupent) pirbuterol
turbutaline |
short acting B-andrenergic agonist
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Ipratropium (atrovent)
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anticholinergic, short term
3-4 times/day |
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Montelukast (Singulair)
zafirlukast, zileuton |
leukotrine modifiers
antagonist |
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Fluticasone(Flovent)
budesonide(Pulmicort) |
corticosteriods, inhaler BID
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Nasal corticosteroids
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flonase, rhinocort, nasonex
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Cromolyn
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mast cell stabilizer
used for maintenence |
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Predinsone
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systemic corticosteroid
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1st line TB meds
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INH, Rifapentine (priftin), Rifampin (Rifadin)
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Spacers
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decrease side effects
help more meds get into lungs |
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mast cell stabilizers
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inhibit inflammatory response
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Luekotrine modifiers
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prevent leukotrine from bronchoconstriction
anti-inflammatory/bronchodialator |