University of Rhode Island NUR 243: Drugs for - Diabetes
Mellitus | Thyroid Disorders | Adrenal Cortex Disorders |
Hypothalamic/Pituitary Disorders | Questions with 100%
Verified Answers | Latest Update
Question:
Normal Blood Glucose Levels/ A1C
Answer:
BG: 70-130mg before food; <180 1-2 hrs after food A1C: reflects BG 2-3m; <5.7%
Question:
Type 1 vs Type 2 DM
Answer:
1: autoimmune destruction of beta cells = dec insulin sec 2: insulin resistance
Question:
Insulin: Mechanism of Action | Indications | Interactions
Answer:
binds insulin receptors = glucose uptake/inhibits liver glucose prod; type 1/2 DM + DKA/hyperK;
interacts w BB (mask hypoglycemia)/corticosteroids + thiazide diuretics (inc BG)
Question:
Rapid-Acting Insulin: Lispro (Humalog): Onset | Peak | Duration | Nursing Interventions
Answer:
onset: 10-15m peak: 30-90m duration: 3-5hrs; SUBQ; faster than reg insulin -> short duration;
admin within 15m meal/just before; delayed meal = hypoglycemia
Question:
Short Acting Insulin: Regular Insulin: Onset | Peak | Duration | Nursing Interventions
Answer:
onset: 30-60m peak: 1-5hrs duration: 10 hrs; admin 30-45m before meals; SUBQ/IM/Oral/Inhaled/IV
(only insulin given IV)
Question:
Intermediate-Duration Insulin: NPH: Onset | Peak | Duration | Nursing Interventions
Answer:
onset: 1-2hrs peak: 4-12hrs duration: 18-24hrs; admin SUBQ 2-3x daily between meals/during night;
only insulin mixed w/reg insulin; cloudy -> must agitate
Mellitus | Thyroid Disorders | Adrenal Cortex Disorders |
Hypothalamic/Pituitary Disorders | Questions with 100%
Verified Answers | Latest Update
Question:
Normal Blood Glucose Levels/ A1C
Answer:
BG: 70-130mg before food; <180 1-2 hrs after food A1C: reflects BG 2-3m; <5.7%
Question:
Type 1 vs Type 2 DM
Answer:
1: autoimmune destruction of beta cells = dec insulin sec 2: insulin resistance
Question:
Insulin: Mechanism of Action | Indications | Interactions
Answer:
binds insulin receptors = glucose uptake/inhibits liver glucose prod; type 1/2 DM + DKA/hyperK;
interacts w BB (mask hypoglycemia)/corticosteroids + thiazide diuretics (inc BG)
Question:
Rapid-Acting Insulin: Lispro (Humalog): Onset | Peak | Duration | Nursing Interventions
Answer:
onset: 10-15m peak: 30-90m duration: 3-5hrs; SUBQ; faster than reg insulin -> short duration;
admin within 15m meal/just before; delayed meal = hypoglycemia
Question:
Short Acting Insulin: Regular Insulin: Onset | Peak | Duration | Nursing Interventions
Answer:
onset: 30-60m peak: 1-5hrs duration: 10 hrs; admin 30-45m before meals; SUBQ/IM/Oral/Inhaled/IV
(only insulin given IV)
Question:
Intermediate-Duration Insulin: NPH: Onset | Peak | Duration | Nursing Interventions
Answer:
onset: 1-2hrs peak: 4-12hrs duration: 18-24hrs; admin SUBQ 2-3x daily between meals/during night;
only insulin mixed w/reg insulin; cloudy -> must agitate