NR 601 Final 2
1st line remedy for diabetes kind 2 - ANS-Lifestyle changes
Metformin use if BMI >/= 35
ASA if pt is >40yrs.
1st line treatment kind 1 - ANS-Insulin ie. Long appearing: Lantus Gargline much less hazard of
hypoglycemia
three-6 mo Screening for diabetes - ANS-A1C
BP
Review GM data
feet exam
urinalysis (albuminuria and albumin to creatinine ratio)
creatinine ration
eGFR
immunization update pnumococcal/ pneumonia
Annual Diabetic screening - ANS-Ophthalmology
Microalbumin
Electrocardiogram
Fasting lipid profile
Bi-annual oral examination
Aspart (Novolog) Glusine (Apidra) Lispro (Humalog) (Analogues) - ANS-Rapid appearing
Onset 15 min
Peak 1-2 hrs
*Give when ingesting or right now after a meal.
*Adaptable
Basal insulin - ANS-(intermediate actingNPH, (Long performing) Gargline (Lantus, Toujeo,
Basaglar,) Detemir (Levemir)
(Ultra long appearing) Degludec (Tresiba).
BMI classifcatiations - ANS-<18.5 underweight
18-5-24.9 normal
25-29.0 overweight
30-34.9 obesity class 1
35-39.9 obesity class 2
>40 magnificence 3 severe weight problems
, Bolus Insulins - ANS-brief appearing:
normal human insulin
rapid acting:
Aspart (Novolog), glusine (Apidra), lispro (Humalog)
C Peptide measurement in Type 2 DM - ANS-Normal or Elevated
C-peptide size Type 1 DM - ANS-Decreased
Diabetes is the main motive of - ANS-kidney failure, nontraumatic decrease extremity
amputations, and new cases of blindness each yr amongst U.S. Adults aged 20-74 years.
Diabetes screening - ANS-Yearly if obese
q 3 yrs if > 45
Diabetic peripheral neuropathy TX - ANS-SNRI Duloxitine (cymbalta)
TX fibromyalgia, musculoskeletal ache
Diagnosis meopause - ANS-High LH
no duration for 12 consecutive months
Distinguishing type 1 DM from kind 2 DM - ANS-Type 1 decreased C peptide, islet and beta
mobile antibodies, ketouria
DM diagnostic criteria (3) - ANS-1- A1C > 6.5 repeat test
2- FPG > 126 repeat test
3- GTT > two hundred $$
4- Random glucose >two hundred with symptoms
Gargline,( Lantus, Toujeo, Basaglar), Detemir (Levemir) - ANS-Long appearing insulins
no top
much less weight benefit and hypoglycemia
Detemir (Levemir) 2x day dosing
Medications to keep away from in pts with delerium - ANS-Benzo, sedatives, lithium,
anticholenergics, opioids, antihypertensives, corticosteroids
Metformin CI - ANS-Renal sickness, odd Crcl, GFR <45, Acute MI, septicemia
Liver impairment, alcohol abuse, cardiopulmonary insufficiency.
Metformin dosing - ANS-Start low go slow
500 q day with evening meal increased gradually
MAX: 2000mg/day
1st line remedy for diabetes kind 2 - ANS-Lifestyle changes
Metformin use if BMI >/= 35
ASA if pt is >40yrs.
1st line treatment kind 1 - ANS-Insulin ie. Long appearing: Lantus Gargline much less hazard of
hypoglycemia
three-6 mo Screening for diabetes - ANS-A1C
BP
Review GM data
feet exam
urinalysis (albuminuria and albumin to creatinine ratio)
creatinine ration
eGFR
immunization update pnumococcal/ pneumonia
Annual Diabetic screening - ANS-Ophthalmology
Microalbumin
Electrocardiogram
Fasting lipid profile
Bi-annual oral examination
Aspart (Novolog) Glusine (Apidra) Lispro (Humalog) (Analogues) - ANS-Rapid appearing
Onset 15 min
Peak 1-2 hrs
*Give when ingesting or right now after a meal.
*Adaptable
Basal insulin - ANS-(intermediate actingNPH, (Long performing) Gargline (Lantus, Toujeo,
Basaglar,) Detemir (Levemir)
(Ultra long appearing) Degludec (Tresiba).
BMI classifcatiations - ANS-<18.5 underweight
18-5-24.9 normal
25-29.0 overweight
30-34.9 obesity class 1
35-39.9 obesity class 2
>40 magnificence 3 severe weight problems
, Bolus Insulins - ANS-brief appearing:
normal human insulin
rapid acting:
Aspart (Novolog), glusine (Apidra), lispro (Humalog)
C Peptide measurement in Type 2 DM - ANS-Normal or Elevated
C-peptide size Type 1 DM - ANS-Decreased
Diabetes is the main motive of - ANS-kidney failure, nontraumatic decrease extremity
amputations, and new cases of blindness each yr amongst U.S. Adults aged 20-74 years.
Diabetes screening - ANS-Yearly if obese
q 3 yrs if > 45
Diabetic peripheral neuropathy TX - ANS-SNRI Duloxitine (cymbalta)
TX fibromyalgia, musculoskeletal ache
Diagnosis meopause - ANS-High LH
no duration for 12 consecutive months
Distinguishing type 1 DM from kind 2 DM - ANS-Type 1 decreased C peptide, islet and beta
mobile antibodies, ketouria
DM diagnostic criteria (3) - ANS-1- A1C > 6.5 repeat test
2- FPG > 126 repeat test
3- GTT > two hundred $$
4- Random glucose >two hundred with symptoms
Gargline,( Lantus, Toujeo, Basaglar), Detemir (Levemir) - ANS-Long appearing insulins
no top
much less weight benefit and hypoglycemia
Detemir (Levemir) 2x day dosing
Medications to keep away from in pts with delerium - ANS-Benzo, sedatives, lithium,
anticholenergics, opioids, antihypertensives, corticosteroids
Metformin CI - ANS-Renal sickness, odd Crcl, GFR <45, Acute MI, septicemia
Liver impairment, alcohol abuse, cardiopulmonary insufficiency.
Metformin dosing - ANS-Start low go slow
500 q day with evening meal increased gradually
MAX: 2000mg/day
