Pharmacology for Professional Nursing
NUR2474 Final Exam with answers
What types of insulins are usually given before meals?
Regular and Glargine
Why is Glargine (lantus) given at bedtime?
sugar drops overnight.
What type of insulin is sometimes given at bedtime, has
the longest durations of all the insulin, CANNOT be mixed
with other insulins, and for elderly patients is often split
into two doses. AM and PM?
Insulin Glargine (Lantus)
Why is a nurse concerned for a beta-blocker/insulin
combination?
Beta blcokers can mask some of the symptoms of
hypoglycemia.
,What do you asses for in patient's taking beta blockers
while on insulin.
- symptoms of hypoglycemia
-feeling shaky
-being nervous or anxious
-sweating, chills and clamminess
-irritability or impatience
-confusion
-fast heartbeat
-feeling lightheaded or dizzy
-hunger
-headache
,rapid-acting insulins
Lispro (Humalog)
Onset of Lispro (rapid-acting)
less than 15 min
Short-acting insulin
Regular (Humulin R)
Intermediate-acting insulin
NPH insulin (Humulin N)
Long-acting insulin
glargine (Lantus)
detemir (Levemir)
, Steps to do after a patient is hypoglycemic?
1. check blood sugar
2. give simple carbs
3. if unable to swollow give glucagon
4. for IV access give Dextrose D50W
How does Glipizide work?
Lowers blood sugar by causing the pancreas to produce
insulin, needed to break down sugar in the body and
helping the body use insulin efficiently.
How to diagnose Diabetes type 2?
- no end organ damage
-less than five years
What classification is Glipizide?
-anti-diabetic
NUR2474 Final Exam with answers
What types of insulins are usually given before meals?
Regular and Glargine
Why is Glargine (lantus) given at bedtime?
sugar drops overnight.
What type of insulin is sometimes given at bedtime, has
the longest durations of all the insulin, CANNOT be mixed
with other insulins, and for elderly patients is often split
into two doses. AM and PM?
Insulin Glargine (Lantus)
Why is a nurse concerned for a beta-blocker/insulin
combination?
Beta blcokers can mask some of the symptoms of
hypoglycemia.
,What do you asses for in patient's taking beta blockers
while on insulin.
- symptoms of hypoglycemia
-feeling shaky
-being nervous or anxious
-sweating, chills and clamminess
-irritability or impatience
-confusion
-fast heartbeat
-feeling lightheaded or dizzy
-hunger
-headache
,rapid-acting insulins
Lispro (Humalog)
Onset of Lispro (rapid-acting)
less than 15 min
Short-acting insulin
Regular (Humulin R)
Intermediate-acting insulin
NPH insulin (Humulin N)
Long-acting insulin
glargine (Lantus)
detemir (Levemir)
, Steps to do after a patient is hypoglycemic?
1. check blood sugar
2. give simple carbs
3. if unable to swollow give glucagon
4. for IV access give Dextrose D50W
How does Glipizide work?
Lowers blood sugar by causing the pancreas to produce
insulin, needed to break down sugar in the body and
helping the body use insulin efficiently.
How to diagnose Diabetes type 2?
- no end organ damage
-less than five years
What classification is Glipizide?
-anti-diabetic
