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NUR 2474 / NUR2474 Final Exam: Pharmacology for Professional Nursing Final Exam Review (Latest 2022/2023) Rasmussen
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NUR2474 Pharmacology for Professional Nursing Final Exam Review
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NUR2474 Final Exam1. What types of insulins are usually given before meals?
- Regular and Glargine
2. Why is Glargine (Lantus) given at bedtime?
- sugar drops overnight.
3. What type of insulin is sometimes given at bedtime, has the longest durations of all the
insulin, CANNOT be mixed with other insulins, and for elderly patients is often split into
two doses. AM and PM?
- Insulin Glargine (Lantus)
4. Why is a nurse concerned for a beta-blocker/insulin combination?
- Beta blockers can mask some of the symptoms of hypoglycemia.
5. What do you asses for in patient's taking beta blockers while on insulin.
- - symptoms of hypoglycemia
-feeling shaky
-being nervous or anxious
-sweating, chills and clamminess
-irritability or impatience
-confusion
-fast heartbeat
-feeling lightheaded or dizzy
-hunger
-headache
,6. Rapid-acting insulins
- Lispro (Humalog)
7. Onset of Lispro (rapid-acting)
- less than 15 min
8. Short-acting insulin
- Regular (Humulin R)
9. Intermediate-acting insulin
- NPH insulin (Humulin N)
10. Long-acting insulin
- glargine (Lantus)
detemir (Levemir)
11. Steps to do after a patient is hypoglycemic?
- 1. check blood sugar
2. give simple carbs
3. if unable to swallow give glucagon
4. for IV access give Dextrose D50W
12. How does Glipizide work?
- Lowers blood sugar by causing the pancreas to produce insulin, needed to break down
sugar in the body and helping the body use insulin efficiently.
,13. How to diagnose Diabetes type 2?
- - no end organ damage
-less than five years
14. What classification is Glipizide?
- -anti-diabetic
-oral hypoglycemic
15. What are the side/adverse effects of Glipizide?
- diarrhea
constipation
headache
hypoglycemia
nausea
vomiting
upset stomach
loss of appetite
weight gain
16. Contraindications of Glipizide?
- low blood sugar
pituitary hormone deficiency
Addison's disease
hepatic porphyria
hemolytic anemia
alcoholic
, 17. Drug-drug interactions of Glipizide?
- allergy to sulfa
18. Drug-food interactions of Glipizide?
- take with breakfast
19. How does Metformin work?
- reducing the amount of sugar the liver releases into the blood
makes the body respond better to insulin
20. What classifications is Metformin?
- anti-diabetic
oral hypoglycemia
21. What are the side/adverse effects of Metformin?
- hypoglycemia
can be harsh on kidneys
22. Contraindications of Metformin?
- Kidney disease
heart attack
stroke
diabetic ketoacidosis
coma
heart disease
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