NR 565 Final Save
Terms in this set (111)
1st line treatment for diabetes lifestyle changes and metformin
A1c general goal <7%
, regulation of glucose metabolism. Insulin promotes glucose
and amino acid uptake into muscle and adipose tissues, and
other tissues except brain and liver. It also has an anabolic role
in stimulating glycogen, fatty acid, and protein synthesis
action of insulin First, it stimulates cellular transport (uptake) of glucose, amino
acids, nucleotides, and potassium. Second, insulin promotes
synthesis of complex organic molecules. Under the influence of
insulin and other factors, glucose is converted into glycogen,
amino acids are assembled into proteins, and fatty acids are
incorporated into triglycerides
When the immune system produces antibodies in response to
an antigen by the vaccine, or by the infection itself. For
example, if a person who has never had hepatitis B contracts
active immunity
hepatitis B and recovers from it, that person becomes immune
to hepatitis B because of the immune system's antibody
response to the hepatitis B virus
Hypomagnesemia (check mg levels periodically especially in
elderly)
Associated vitamin and/or get enough calcium and vit D
mineral deficiencies w/ PPI's contraindicated in those with hypocalcemia due to increased
risk for bone fractures
Decreased absorption of calcium, magnesium, and vitamin B12
Asthma and COPD - manage SABA
with a BLANK as needed
, At what interval should A1c be 2-4 times a year (every 3 months) until A1c drops to 7% and at
rechecked? least every 6 months there after
moderate to severe persistent asthma or for management of
acute exacerbations of asthma or COPD
At what point should an oral
only can be prescribed when symptoms cannot be controlled
steroid be prescribed?
with safer medications (ICS, inhaled SABA/LABA)
risk of toxicity increases with duration of use
Benefits of use of LABA long term control, fixed schedule
"rescue medication"
Benefits of use of SABA abort an ongoing attack/acute symptoms, but not for
prolonged prophylaxis
very effective, safer than systemic, usually minor adverse
Benefits of using ICS
reactions
decreases glucose production by the liver
Biguanide mechanism of action
ex. metformin (used for PCOS too)
Can cause Tardive Dyskinesia, risk increased with length of
Black box warning associated
treatment. Should discontinue at 12 weeks or if the patient
with treatment (Reglan)
develops movement disorder
Terms in this set (111)
1st line treatment for diabetes lifestyle changes and metformin
A1c general goal <7%
, regulation of glucose metabolism. Insulin promotes glucose
and amino acid uptake into muscle and adipose tissues, and
other tissues except brain and liver. It also has an anabolic role
in stimulating glycogen, fatty acid, and protein synthesis
action of insulin First, it stimulates cellular transport (uptake) of glucose, amino
acids, nucleotides, and potassium. Second, insulin promotes
synthesis of complex organic molecules. Under the influence of
insulin and other factors, glucose is converted into glycogen,
amino acids are assembled into proteins, and fatty acids are
incorporated into triglycerides
When the immune system produces antibodies in response to
an antigen by the vaccine, or by the infection itself. For
example, if a person who has never had hepatitis B contracts
active immunity
hepatitis B and recovers from it, that person becomes immune
to hepatitis B because of the immune system's antibody
response to the hepatitis B virus
Hypomagnesemia (check mg levels periodically especially in
elderly)
Associated vitamin and/or get enough calcium and vit D
mineral deficiencies w/ PPI's contraindicated in those with hypocalcemia due to increased
risk for bone fractures
Decreased absorption of calcium, magnesium, and vitamin B12
Asthma and COPD - manage SABA
with a BLANK as needed
, At what interval should A1c be 2-4 times a year (every 3 months) until A1c drops to 7% and at
rechecked? least every 6 months there after
moderate to severe persistent asthma or for management of
acute exacerbations of asthma or COPD
At what point should an oral
only can be prescribed when symptoms cannot be controlled
steroid be prescribed?
with safer medications (ICS, inhaled SABA/LABA)
risk of toxicity increases with duration of use
Benefits of use of LABA long term control, fixed schedule
"rescue medication"
Benefits of use of SABA abort an ongoing attack/acute symptoms, but not for
prolonged prophylaxis
very effective, safer than systemic, usually minor adverse
Benefits of using ICS
reactions
decreases glucose production by the liver
Biguanide mechanism of action
ex. metformin (used for PCOS too)
Can cause Tardive Dyskinesia, risk increased with length of
Black box warning associated
treatment. Should discontinue at 12 weeks or if the patient
with treatment (Reglan)
develops movement disorder
