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Pharmacology - NURS 474A Objectives
Exam 2 Questions and Correct Answers/
Latest Update / Already Graded
Obj. #1: Compare diabetes mellitus type I and type II, including
diagnosis, glycemic control and short and long term impact.
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Ans: Type 1 DM
- primary defect is destruction of pancreatic beta cells due to
autoimmune process
- accounts for 5% of all cases of diabetes mellitus
- requires a comprehensive plan
- integrated program of diet, self-monitoring of blood glucose, exercise,
and insulin replacement
- if uncontrolled, can lead to weight loss, DKA, nephropathy, retinopathy,
peripheral vascular disease, and neuropathy
Type 2 DM
- accounts for 90% - 95% of all cases of diabetes
- insulin resistance and impaired insulin secretion
- similar to Type 1, requires comprehensive plan
- glycemic control with modified diet and physical activity and drug
therapy
- should be treated for hypertension, neuropathy, retinopathy,
nephropathy, dyslipidemias
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Obj. #2: Distinguish the different types of insulin, including the
indication for use, appearance, onset, peak, and duration of action.
Ans: Rapid: lispro, aspart, glulisine
Short: regular insulin
Intermediate: NPH, detemir
Long: glargine
Lispro: Indication, Use, Appearance, Onset, Duration
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Ans: Indication: Type 1 DM
Use: inject subQ, insulin for mealtime (5 to 10 mins before)
Appearance: clear
Onset: 15 to 30 minutes
Peak: 30 mins - 2.5 hours
Duration: 3 to 6 hours
*just before meal; high risk for hypoglycemia
Aspart: Indication, Use, Appearance, Onset, Duration
Ans: Indication: Type 1 DM
Use: inject subQ, insulin for mealtime (5 to 10 mins before)
Appearance: clear
Onset: 15 to 30 minutes
Peak: 30 mins - 2.5 hours
Duration: 3 to 6 hours
Pharmacology - NURS 474A Objectives
Exam 2 Questions and Correct Answers/
Latest Update / Already Graded
Obj. #1: Compare diabetes mellitus type I and type II, including
diagnosis, glycemic control and short and long term impact.
,2 | Page
Ans: Type 1 DM
- primary defect is destruction of pancreatic beta cells due to
autoimmune process
- accounts for 5% of all cases of diabetes mellitus
- requires a comprehensive plan
- integrated program of diet, self-monitoring of blood glucose, exercise,
and insulin replacement
- if uncontrolled, can lead to weight loss, DKA, nephropathy, retinopathy,
peripheral vascular disease, and neuropathy
Type 2 DM
- accounts for 90% - 95% of all cases of diabetes
- insulin resistance and impaired insulin secretion
- similar to Type 1, requires comprehensive plan
- glycemic control with modified diet and physical activity and drug
therapy
- should be treated for hypertension, neuropathy, retinopathy,
nephropathy, dyslipidemias
,3 | Page
Obj. #2: Distinguish the different types of insulin, including the
indication for use, appearance, onset, peak, and duration of action.
Ans: Rapid: lispro, aspart, glulisine
Short: regular insulin
Intermediate: NPH, detemir
Long: glargine
Lispro: Indication, Use, Appearance, Onset, Duration
, 4 | Page
Ans: Indication: Type 1 DM
Use: inject subQ, insulin for mealtime (5 to 10 mins before)
Appearance: clear
Onset: 15 to 30 minutes
Peak: 30 mins - 2.5 hours
Duration: 3 to 6 hours
*just before meal; high risk for hypoglycemia
Aspart: Indication, Use, Appearance, Onset, Duration
Ans: Indication: Type 1 DM
Use: inject subQ, insulin for mealtime (5 to 10 mins before)
Appearance: clear
Onset: 15 to 30 minutes
Peak: 30 mins - 2.5 hours
Duration: 3 to 6 hours
