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29 Cards in this Set

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