NURS 180 PHARM: QUIZ 2 REVIEW
3 P's of diabetes - ANS-Polyuria, Polydipsia, Polyphagia
\Alpha-Glucosidase - ANS-Blocks glucose enzymes that break down to usable amounts
Liver needs to be monitored; Small Intestine
Garlic &/or Ginseng: Increases risk of hypoglycemic (Synergistic effect)
Watch carb intake; don't eliminate too much
"Diabetic Sick Days"
Make sure you ear, don't starve. Broths, Gatorade, Electrolytes; ^ High Blood Sugar =
Bacteria is feeding from the sugar --> Risk for sepsis
\Antacids - ANS-Neutralizes acids in stomach
Doesn't do anything to ulcers, for systematic use
Most abused b/c makes absorption and distribution ineffective
More susceptible to infection b/c people take more OTC with smaller doses
\Anti-Diarrheal - ANS-Don't take with a flu, food poisoning
Need to be excreted, not secreted b/c don't want to hold in bacteria
\Are there any insulins that you shouldn't mix? - ANS-Yes, DO NOT mix long acting with
ANYTHING
Long Acting is always by itself
\Biguanides - ANS-Decreases hepatic reduction of glucose
Reduces insulin resistance in receptors
Location: Liver
Too much glucose? Excretes it or store it in liver as glucagon later
Not enough glucose? Reserve of glucagon in the liver will help compensate
MED TO KNOW: Metaformin
Benefits: Weight loss, reduces triglycerides & LDLs
Nursing Considerations: CANNOT CRUSH! Require monitoring-q3months testing of
Hemoglobin A1C
\Bisacodyl - ANS-Stimulant laxative
, Increases peristalsis
Could cause diarrhea
\Blood glucose is low, what should you do first? - ANS-Assess blood sugar, LOC, swallow &
gag, hospital protocol
\Can Type 2 DM become a Type 1? - ANS-Yes with modifiable factors --> Diet & Exercise
\Carafate - ANS-An anticulcer agent
Gives protective coating over the ulcer
Protects from erosion, promotes healing
\Difference between Chief & Parietal Cells - ANS-Chief Cells: Proteins are broken down
Parietal Cells: Secrete hydrochloric acid; inhibits chief cells to break down proteins; kills
microbes
\Difference between Type 1 and Type 2 DM - ANS-Type 1: pancreas produces little or no
insulin
Type 2: pancreas makes insulin, but cells resist insulin's action
\Docusate - ANS-Stool softner
Causes more water & fat to be absorbed in stool
Large intestine
Too much water? Constipation
Less water? Diarrhea
\Duodenum Ulcer - ANS-Ulcer in small intestine
Relieved by food (1-3hrs after eating)
\Electrolytes & Pharmacokinetics - ANS-
\Gastric Ulcer - ANS-Located in the stomach
Relieved by alkaline based food
Side effects: anorexia, loss of appetite, N/V
\H2-Receotir Antagonists - ANS-Histamine Receptors:
H1: Allergies
H2: Increase secretion of gastric acid
Antacids should NOT be taken --> makes H2 receptor antagonists ineffective
MED TO KNOW: Pepside
\Humalog & Apidra - ANS-Rapid Insulin
Onset: 5-15 min
3 P's of diabetes - ANS-Polyuria, Polydipsia, Polyphagia
\Alpha-Glucosidase - ANS-Blocks glucose enzymes that break down to usable amounts
Liver needs to be monitored; Small Intestine
Garlic &/or Ginseng: Increases risk of hypoglycemic (Synergistic effect)
Watch carb intake; don't eliminate too much
"Diabetic Sick Days"
Make sure you ear, don't starve. Broths, Gatorade, Electrolytes; ^ High Blood Sugar =
Bacteria is feeding from the sugar --> Risk for sepsis
\Antacids - ANS-Neutralizes acids in stomach
Doesn't do anything to ulcers, for systematic use
Most abused b/c makes absorption and distribution ineffective
More susceptible to infection b/c people take more OTC with smaller doses
\Anti-Diarrheal - ANS-Don't take with a flu, food poisoning
Need to be excreted, not secreted b/c don't want to hold in bacteria
\Are there any insulins that you shouldn't mix? - ANS-Yes, DO NOT mix long acting with
ANYTHING
Long Acting is always by itself
\Biguanides - ANS-Decreases hepatic reduction of glucose
Reduces insulin resistance in receptors
Location: Liver
Too much glucose? Excretes it or store it in liver as glucagon later
Not enough glucose? Reserve of glucagon in the liver will help compensate
MED TO KNOW: Metaformin
Benefits: Weight loss, reduces triglycerides & LDLs
Nursing Considerations: CANNOT CRUSH! Require monitoring-q3months testing of
Hemoglobin A1C
\Bisacodyl - ANS-Stimulant laxative
, Increases peristalsis
Could cause diarrhea
\Blood glucose is low, what should you do first? - ANS-Assess blood sugar, LOC, swallow &
gag, hospital protocol
\Can Type 2 DM become a Type 1? - ANS-Yes with modifiable factors --> Diet & Exercise
\Carafate - ANS-An anticulcer agent
Gives protective coating over the ulcer
Protects from erosion, promotes healing
\Difference between Chief & Parietal Cells - ANS-Chief Cells: Proteins are broken down
Parietal Cells: Secrete hydrochloric acid; inhibits chief cells to break down proteins; kills
microbes
\Difference between Type 1 and Type 2 DM - ANS-Type 1: pancreas produces little or no
insulin
Type 2: pancreas makes insulin, but cells resist insulin's action
\Docusate - ANS-Stool softner
Causes more water & fat to be absorbed in stool
Large intestine
Too much water? Constipation
Less water? Diarrhea
\Duodenum Ulcer - ANS-Ulcer in small intestine
Relieved by food (1-3hrs after eating)
\Electrolytes & Pharmacokinetics - ANS-
\Gastric Ulcer - ANS-Located in the stomach
Relieved by alkaline based food
Side effects: anorexia, loss of appetite, N/V
\H2-Receotir Antagonists - ANS-Histamine Receptors:
H1: Allergies
H2: Increase secretion of gastric acid
Antacids should NOT be taken --> makes H2 receptor antagonists ineffective
MED TO KNOW: Pepside
\Humalog & Apidra - ANS-Rapid Insulin
Onset: 5-15 min
