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9 Cards in this Set

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A 40 year old patient is in the clinic for a routine physical exam. The patient has a body mass index of 26. The patient is active and walks a dog daily. A lipid profile reveals low-density lipoprotein LDL of 100, HDL of 30 and triglycerides of 250. The primary care should

Order of fasting plasma glucose level. Testing for type 2 diabetes should be considered in all adults with a BMI greater than 25 whoever risk factors such as HDL less than 35 or triglycerides greater than 250. A fasting plasma glucose level greater than 126 indicates diabetes. Metformin is not indicated unless testing is positive. Lifestyle Changes may be part of the treatment plan. Serum insulin level is not indicated

A patient is newly diagnosed with type 2 diabetes. The primary care NP reviews this patients lab tests and notes normal renal function, increase triglycerides, and decrease HDL levels. The NP should prescribe

Metformin glucophage. Is recommended as initial pharmacological treatment for type 2 diabetes. Has been shown to decrease triglycerides and LDL

The patient who has insulin-dependent diabetes type 2 reports having difficulty keeping blood glucose within normal limits and has multiple episodes of both hypoglycemia and hyperglycemia. As adjunct therapy to manage his problem the NP should prescribe

Pramlintide symlin. Is indicated in patients with type 1 diabetes and Insulin dependent type 2 diabetes and is helpful for patients with wide glycemic swings. Repaglinide requires a functioning pancreas to be effective. Glyburide and Metformin are first-line oral agents and are not indicated

A patient with type 2 diabetes takes metformin glucophage 1000 mg twice-daily and Glyburide micronase 12 mg daily at an annual physical examination the BMI is 29 and hemoglobin A1c is 7.3% the NP should

Begin insulin therapy. The target hemoglobin A1c goal for adults is less than 7% insulin therapy is indicated if maximum doses of to oral anti-diabetic drugs are not effective. This patient is taking the maximum recommended dosage for metformin and Glyburide. Colesevelam does not decrease hemoglobin A1c. Adding a third oral anti-diabetic agent is not recommended. The weight loss program may be part of his patients treatment but insulin is necessary to maintain glycemic

A 30 year old white woman has a BMI of 26 and weighs 150 lb. Add an annual physical examination the patient fasting plasma glucose is 130. The patient walks 1-mile three or four times weekly. She has two children who weighs 7 lb and 8 pounds at Birth. Her personal and family histories are non-contributory. The NP should

Set a weight loss goal of 10 to 15 lb. To prevent or delay onset of diabetes patients with impaired glucose should be advised to lose 5 to 10% of their body weight. Metformin should be considered in patients with high risk of developing diabetes. This woman does not have risk factors. Other tests are not indicated.

A patient who is newly diagnosed with type 2 diabetes has not responded to changes in diet or exercise. the patient is mildly obese and has a fasting blood glucose of 130 .the patient has normal renal function test .the primary care NP plans to prescribe a combination product. Which of the following is indicated for this patient?

Metformin-Glyburide (glucovance). Obese patients with normal renal function and elevated fasting plasma glucose may be started on a combination of metformin and a second generation sulfonylurea

A patient who has Type 2 diabetes takes metformin glucophage. The patient tells the primary care NP that he will have a surgery in a few weeks the NP should recommend

Using insulin during the perioperative and post-operative periods. Insulin should be considered for patients with diabetes during times of physical stress, such as illness or injury

A patient who has diabetes is taking metformin 1000 mg daily. At a clinic visit, the patient reports having abdominal pain and nausea. The primary care NP notes a heart rate of 92. The NP should

Order electrolytes, ketones, and serum glucose. Symptoms of lactic acidosis include nausea, abdominal pain, and tachycardia. Test should include electrolytes, ketones, and serum

A 12 year old patient who is obese develops type 2 diabetes. The NP should order

Metformin. Metformin is the only drug listed that is recommended for children