Diabetes

Question 1

Metformin (glucophage)

Answer 1

Oral hypoglycemic agent. Type 2. Hold 48 hrs after cardiac catheterization. Worried about kidneys

Question 2

Pioglitazone (actos)

Answer 2

Oral hypoglycemic agent. Type 2.

Question 3

Sitagliptin (januvia)

Answer 3

Oral hypoglycemic agent. Type 2.

Question 4

Glipizide (glucotrol)

Answer 4

Oral hypoglycemic agent. Type 2.

Question 5

Regular insulin

Answer 5

Clear. Only insulin given IV. 30 min onset. 2-4 hr peak. 6-8 hr duration. Short-acting. When mixing with NPH draw regular first (clear to cloudy). Indications - ketoacidosis, altered level of con, dehydration, kussmaul resp, abd pain, n/v

Question 6

Rapid acting insulin

Answer 6

15 min onset. 1-3 hr peak. 3-5 hr duration. Lispro, aspart, glulisine. Before meals

Question 7

NPH

Answer 7

Cloudy. Intermediate acting. 1.5 hr onset. 4-12 hr peak. 16-24 hr duration. When mixing with Regular draw regular first (clear to cloudy)

Question 8

Long acting

Answer 8

Lantus (gargon), glargine, detemir (peak 3-14 hrs). Clear. Can’t be mixed with any other insulin. No peak. 2-4 hr onset. 24 hr duration.

Question 9

Basal bolus insulin dosing

Answer 9

Long acting given once a day. Rapid-acting insulin given before meals. Continuous rapid acting (basal) plus on demand bolus dosing

Question 10

D50W

Answer 10

For unconscious hypoglycemic pt. hard to push use large bore IV

Question 11

Glucagon (glucagen)

Answer 11

Injectable IM. Given to unconscious hypoglycemic pt.