Exam 4

Question 1

Patient born with diabetes has which type?

Answer 1

Type 1. They have to take EXOGENOUS insulin shots for the rest of their life.
- Fewer than 10 percent of cases are type 1.

Question 2

Is insulin given in mL or Units?

Answer 2

UNITS

Question 3

Can metformin cause hypoglycemia?

Answer 3

No

Question 4

Onset for NPH insulin is?

Answer 4

1-2 hours

Question 5

When giving insulin, what should you rotate?

Answer 5

The injection sites.

Question 6

The patient is alert with low blood sugar. What do you give them?

Answer 6

FOOD

Question 7

The patient’s Vitals are bad and their sugar level is 30. What do you give them?

Answer 7

IV Glucose

Question 8

What is the only insulin you can administer through an IV?

Answer 8

Regular Insulin ONLY!

Question 9

What should a diabetic do before exercise?

Answer 9

EAT

Question 10

Glipizide medication needs to be taken when and how?

Answer 10

Taken with the first bite of the first meal in the morning.

Question 11

Diabetic patient is unconscious. What do you do?

Answer 11

Roll them to their side.

Question 12

Regular onset time?

Answer 12

30-60 mins

Question 13

Glargine

Answer 13

Long acting insulin. Onset 1-2 hours

Question 14

Aspart

Answer 14

Rapid Acting Onset 15 mins

Question 15

Hemoglobin a1c measure what?

Answer 15

Measure blood sugar levels over the past 3 months

Question 16

Pregnant women with gestational diabetes, who can’t take pills will be given

Answer 16

insulin injections

Question 17

Lispro needs to be given with

Answer 17

FOOD

Question 18

Respiratory rate dropped below 8 due to opioids. What is given

Answer 18

Naloxone (NARCAN)

Question 19

Max doses for Tylenol

Answer 19

Max: 3000mg
Liver Problems: 2000mg

Question 20

Patient reports feeling pins and needles?

Answer 20

Neuropathy pain

Question 21

What vital sign should you check on a person taking opioids?

Answer 21

Respirations

Question 22

Children cannot have what medicine for fever?

Answer 22

Aspirin. Give them Tylenol instead.

Question 23

Before giving medication, do what type of assessment?

Answer 23

A pain assessment.

Question 24

What is phantom pain?

Answer 24

pain from a body part that is no longer there.

Question 25

What is referred pain?

Answer 25

pain appearing in another part of the body then where is is originating from.

Question 26

Common adverse effects of opioids

Answer 26

nausea, vomiting, constipation, pruritus, dizziness, dry mouth, and sedation

Question 27

Hydromorphone

Answer 27

Dilotin

Question 28

Demerol

Answer 28

Meperidine

Question 29

cough medicine

Answer 29

Codeine

Question 30

10x stronger then morphine

Answer 30

Fentanyl

Question 31

Signs and Symptoms of diabetes

Answer 31

Elevated fasting blood glucose (higher than 126 mg/dL) or a hemoglobin A1C (HbA1C) level greater than or equal to 6.5% Polyuria Polydipsia Polyphagia Glycosuria Unexplained weight loss Fatigue Blurred vision

Question 32

Type 2 diabetes Treatments

Answer 32

-Lifestyle changes -Oral drug therapy -Insulin when the above no longer provide glycemic control

Question 33

Fixed Combination Insulin

Answer 33

Contain NPH and either one rapid-acting type (Lispo, Aspart) or one short-acting type (Regular)

Question 34

How to draw up Insulin

Answer 34

Remember R (Regular or Rapid) before N (NPH/intermediate)

Question 35

When administering insulin, what should you check?

Answer 35

Check the patients GLUCOSE LEVELS before giving them insulin

Question 36

Can you shake or roll insulin vials

Answer 36

Roll Vials

Question 37

Insulin storage

Answer 37

Open unrefrigerated vials, must be discarded after one month

Question 38

Oral Antidiabetic Drugs

Answer 38

- Used for type 2 Diabetes. - Effective treatment involves several elements +Careful monitoring of blood glucose levels +Therapy with one or more drugs +Treatment of associated comorbid conditions such as high cholesterol and high blood pressure

Question 39

If oral antidiabetic drugs are ineffective, what will happen

Answer 39

Insulin will be ordered

Question 40

Give patient oral antidiabetic drugs 30 mins before what?

Answer 40

Meals

Question 41

Alpha-glucosidase inhibitors are given

Answer 41

with the first bite of each main meal

Question 42

Metformin is taken with meals to reduce what?

Answer 42

GI effects

Question 43

Metformin will need to be discontinued if the patient is

Answer 43

to undergo studies with contrast dye because of possible renal effects; check with the prescriber.

Question 44

Hypoglycemia

Answer 44

Low blood sugar (below 50mg/dL)

Question 45

Symptoms of Hypoglycemia

Answer 45

Early: Confusion, irritability, tremor, sweating Late: Hypothermia, seizures Coma and death will occur if not treated

Question 46

Types of Glucose elevating drugs

Answer 46

- Oral forms of concentrated glucose : Buccal tablets, semisolid gel - 50% dextrose in water (D50W): Given IV - Glucagon: IV and Subcutaneous forms available