Nurs 240 pharm final exam with answers +
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cumulative info latest update
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hyperglycemia causes - CORRECT ANSWERS ✔✔stress |\ |\ |\ |\ |\ |\
(physical n psych), medications, sickness, steroids, food
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treatment of hyperglycemia - CORRECT ANSWERS ✔✔SQ
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of rapid-acting insulin are adjusted according to blood
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glucose test results.
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blood glucose 61-150 - CORRECT ANSWERS ✔✔no insulin
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glucose 151-200 - CORRECT ANSWERS ✔✔3 units
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glucose 201-250 - CORRECT ANSWERS ✔✔5 units
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glucose 251-300 - CORRECT ANSWERS ✔✔8 units
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glucose 301-350 - CORRECT ANSWERS ✔✔10 units
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glucose 351-400 - CORRECT ANSWERS ✔✔12 units
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,glucose 400 + - CORRECT ANSWERS ✔✔15^a
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hypoglycemia - CORRECT ANSWERS ✔✔Low blood |\ |\ |\ |\ |\ |\
glucose level (generally below 70 mg/dL) usually a result
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of insulin and not eating appropriately
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signs n symptoms of hypoglycemia - CORRECT ANSWERS
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✔✔Early = CNS symptoms of confusion, irritability,
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tremor, and sweating. |\ |\ |\
-Later symptoms= hypothermia and seizures
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treatment of hypoglycemia when conscious - CORRECT
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ANSWERS ✔✔juice |\
treatment when unconscious - CORRECT ANSWERS ✔✔1.
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iv dm (thick like honey)
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2. im glucagon
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mixing insulin steps - CORRECT ANSWERS ✔✔1. wash
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hands
2. rotate nph bottle
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3. wipe of tops
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4. draw back amount of air in syringe for dose
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5. inject NPH air dose into bottle
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,6. remaining air to insulin bottle
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7. get insulin
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8. get NPH
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NPH is - CORRECT ANSWERS ✔✔AFTER insulin
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(cloudy, nothing else should be cloudy!) |\ |\ |\ |\ |\
pt education abt length till expiration of insulin -
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CORRECT ANSWERS ✔✔Store vial up to 1 month at room |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
temperature or up to 3 months in refrigerator. |\ |\ |\ |\ |\ |\ |\
|\ Store prefilled syringes up to 1 week in the refrigerator.
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pt education abt insulin - CORRECT ANSWERS ✔✔Never
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freeze insulin. |\
Do not use if inproper clarity or color (e.g., clear for
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regular, cloudy for NPH). |\ |\ |\
Roll vial gently between the hands, no shaking to avoid
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
bubble formation in the vial |\ |\ |\ |\
|\ Give freshly mixed insulins within 5 minutes of mixing
|\ |\ |\ |\ |\ |\ |\ |\
Always check expiration dates of insulin and all
|\ |\ |\ |\ |\ |\ |\ |\ |\
equipment.
|\ Only use insulin syringes
|\ |\ |\
, why rotate insulin injection sites - CORRECT ANSWERS
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✔✔prevent lipohypertrophy (lump of fatty tissue under
|\ |\ |\ |\ |\ |\ |\
skin)
rapid acting insulin example - CORRECT ANSWERS
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✔✔lispro (humalog) |\
aspart (novolog) |\
peak rapid acting - CORRECT ANSWERS ✔✔1 hour
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additional info rapid acting - CORRECT ANSWERS ✔✔eat
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at same time as injection
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-give shot when food hot
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-combined w longer acting insulin==basil-bolus dosing
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-uses sliding scale
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short acting insulin - CORRECT ANSWERS ✔✔regular (R)
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peak time short acting insulin - CORRECT ANSWERS
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✔✔2.5 hrs |\
short acting additional information - CORRECT ANSWERS
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✔✔eat within 30 minutes |\ |\ |\ |\
-used IV during DKA
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cumulative info latest update
|\ |\ |\ |\
hyperglycemia causes - CORRECT ANSWERS ✔✔stress |\ |\ |\ |\ |\ |\
(physical n psych), medications, sickness, steroids, food
|\ |\ |\ |\ |\ |\
treatment of hyperglycemia - CORRECT ANSWERS ✔✔SQ
|\ |\ |\ |\ |\ |\ |\
of rapid-acting insulin are adjusted according to blood
|\ |\ |\ |\ |\ |\ |\ |\
glucose test results.
|\ |\
blood glucose 61-150 - CORRECT ANSWERS ✔✔no insulin
|\ |\ |\ |\ |\ |\ |\
glucose 151-200 - CORRECT ANSWERS ✔✔3 units
|\ |\ |\ |\ |\ |\
glucose 201-250 - CORRECT ANSWERS ✔✔5 units
|\ |\ |\ |\ |\ |\
glucose 251-300 - CORRECT ANSWERS ✔✔8 units
|\ |\ |\ |\ |\ |\
glucose 301-350 - CORRECT ANSWERS ✔✔10 units
|\ |\ |\ |\ |\ |\
glucose 351-400 - CORRECT ANSWERS ✔✔12 units
|\ |\ |\ |\ |\ |\
,glucose 400 + - CORRECT ANSWERS ✔✔15^a
|\ |\ |\ |\ |\ |\
hypoglycemia - CORRECT ANSWERS ✔✔Low blood |\ |\ |\ |\ |\ |\
glucose level (generally below 70 mg/dL) usually a result
|\ |\ |\ |\ |\ |\ |\ |\ |\
of insulin and not eating appropriately
|\ |\ |\ |\ |\
signs n symptoms of hypoglycemia - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\
✔✔Early = CNS symptoms of confusion, irritability,
|\ |\ |\ |\ |\ |\ |\
tremor, and sweating. |\ |\ |\
-Later symptoms= hypothermia and seizures
|\ |\ |\ |\
treatment of hypoglycemia when conscious - CORRECT
|\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔juice |\
treatment when unconscious - CORRECT ANSWERS ✔✔1.
|\ |\ |\ |\ |\ |\ |\
iv dm (thick like honey)
|\ |\ |\ |\
2. im glucagon
|\ |\
mixing insulin steps - CORRECT ANSWERS ✔✔1. wash
|\ |\ |\ |\ |\ |\ |\ |\
hands
2. rotate nph bottle
|\ |\ |\ |\
3. wipe of tops
|\ |\ |\ |\
4. draw back amount of air in syringe for dose
|\ |\ |\ |\ |\ |\ |\ |\ |\
5. inject NPH air dose into bottle
|\ |\ |\ |\ |\ |\ |\
,6. remaining air to insulin bottle
|\ |\ |\ |\ |\ |\
7. get insulin
|\ |\ |\
8. get NPH
|\ |\
NPH is - CORRECT ANSWERS ✔✔AFTER insulin
|\ |\ |\ |\ |\ |\
(cloudy, nothing else should be cloudy!) |\ |\ |\ |\ |\
pt education abt length till expiration of insulin -
|\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Store vial up to 1 month at room |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
temperature or up to 3 months in refrigerator. |\ |\ |\ |\ |\ |\ |\
|\ Store prefilled syringes up to 1 week in the refrigerator.
|\ |\ |\ |\ |\ |\ |\ |\ |\
pt education abt insulin - CORRECT ANSWERS ✔✔Never
|\ |\ |\ |\ |\ |\ |\ |\
freeze insulin. |\
Do not use if inproper clarity or color (e.g., clear for
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
regular, cloudy for NPH). |\ |\ |\
Roll vial gently between the hands, no shaking to avoid
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
bubble formation in the vial |\ |\ |\ |\
|\ Give freshly mixed insulins within 5 minutes of mixing
|\ |\ |\ |\ |\ |\ |\ |\
Always check expiration dates of insulin and all
|\ |\ |\ |\ |\ |\ |\ |\ |\
equipment.
|\ Only use insulin syringes
|\ |\ |\
, why rotate insulin injection sites - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\
✔✔prevent lipohypertrophy (lump of fatty tissue under
|\ |\ |\ |\ |\ |\ |\
skin)
rapid acting insulin example - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\
✔✔lispro (humalog) |\
aspart (novolog) |\
peak rapid acting - CORRECT ANSWERS ✔✔1 hour
|\ |\ |\ |\ |\ |\ |\
additional info rapid acting - CORRECT ANSWERS ✔✔eat
|\ |\ |\ |\ |\ |\ |\ |\
at same time as injection
|\ |\ |\ |\
-give shot when food hot
|\ |\ |\ |\ |\
-combined w longer acting insulin==basil-bolus dosing
|\ |\ |\ |\ |\
-uses sliding scale
|\ |\
short acting insulin - CORRECT ANSWERS ✔✔regular (R)
|\ |\ |\ |\ |\ |\ |\
peak time short acting insulin - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\
✔✔2.5 hrs |\
short acting additional information - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\
✔✔eat within 30 minutes |\ |\ |\ |\
-used IV during DKA
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