NR 565 ADVANCED PHARMACOLOGY
FINAL EXAM
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➢ week 5-8
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,NR 565 FINAL EXAM TEST BANK
question
a patient receives his first lab results showing an a1c of 7.2%. what is the diagnosis?
answer:
-cannot confirm because you need a second a1c after 3 months (value is borderline)
question
an a1c of is considered prediabetes.
answer: 5.7%6.4%
question
a random glucose of is considered diabetic.
answer:
200 with signs and symptoms
question
a person with diabetes has recurrent severe hypoglycemia events. what should his a1c goal be?
answer:
8%
,question
when is it okay for a patient to have an a1c goal of 6.5%?
answer: when they can tolerate it and have no comorbidities.
question
how often should an a1c be monitored when stable or when unstable?-
answer:
-stable: every 6 months
-unstable: every 3 months (a1c of 7 or >)
question
a person comes in with an a1c of 10% and a fasting blood glucose of >300.what
are the next steps for the provider?
answer:
-start insulin
(when a1c is above >9% start at step 2= insulin combo therapy)
question
who should not take metformin?
answer:
-due to increased risk of lactic acidosis: patients with chf, older than 80 years of
age, kidney disease (renal insufficiency)
question
sulfonylureas should not be used during or with
or impairments.
answer:
-pregnancy
, -liver -renal
question
a patient who has a history of bladder cancer and hf should avoid what class of dm meds?
answer:
pioglitazones
-can cause renal fluid retention associated with hf
question
when is it appropriate to increase insulin needs?
answer:
-pregnancy
-infection
-stress -growth spurts
question
what is the tdd of a person that weighs 70kg?
answer:
tdd= (kgx0.6)
50% will be long acting 50%
rapid acting
question
if a person is eating a 50 carb meal, how much insulin will be needed based on the tdd from the
above question?
500 / tdd = carb to insulin ratio
500/42 = 11.9 50/
11 = 4.5 units