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Pharm 210 - Unit 8 Galen Campos questions with actual answers.
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Pharm 210 - Unit 8 Galen/Camposquestions with actual answers.
diabetes mellitus (DM) ANS --deficient of glucose metabolism
-insufficient insulin secretion from beta cells
-impaired insulin use
-major symptoms: polyuria, polydipsia, polyphagia
Types of Diabetes ANS --type 1 - insulin-dependent
-type 2 - insulin resistant
-secondary - d/t meds
-gestational diabetes - hormonal changes
insulin resistance ANS --body tissues do not respond to insulin
Insulin action ANS --promote use of glucose by body cells, store glucose as glycogen in muscles
insulin use ANS --reduce blood glucose
insulin s/e and a/r ANS --h/a, dizziness, confusion, slurred speech, hunger, weakness
-nervousness, anxiety, agitation
-tremors, sweating
-flushing, lethargy
-redness, irritation or swelling at injection site
a/r - tachycardia, palpitations, hypoglycemia(<70), shock, anaphylaxis, ketoacidosis
, insulin interactions ANS --decreased glucose with aspirin, oral anticoagulants, alcohol, other
hypoglycemics, beta blockers
-increased glucose w/thiazides, glucocorticoids, oral contraceptives, thyroid drugs, smoking
insulin contraindications ANS --hypoglycemia
-allergy
types of insulin ANS --rapid-acting
-short-acting
-intermediate-acting
-long-acting
-combination
Lispro (Humalog) ANS -Rapid-acting insulin
Onset: 15-30 minutes
Peak: 30-90 minutes
Duration: 3-5 hours
Novolin (Regular) ANS --short-acting insulin (clear)
onset: 30-60 minutes
peak: 2.5 to 5 hours
duration: 4-12 hours
NPH insulin (Novolin N) ANS --intermediate-acting (cloudy)
-onset: 1-2 hours
-peak: 4-12 hours
-duration: 14-24 hours
Glargine insulin (lantus) ANS --long-acting
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