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NURSING PHARMACOLOGY: DIABETES. EXAM REVISION QUESTIONS AND CORRECT ANSWERS (ALREADY GRADED A+) (2024 UPDATE) $10.49
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NURSING PHARMACOLOGY: DIABETES. EXAM REVISION QUESTIONS AND CORRECT ANSWERS (ALREADY GRADED A+) (2024 UPDATE)
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NURSING PHARMACOLOGY: DIABETES. EXAM REVISION QUESTIONS AND CORRECT ANSWERS (ALREADY GRADED A+) (2024 UPDATE)

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  • October 20, 2024
  • 13
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • Nursing pharmacology
  • Nursing pharmacology

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NURSING PHARMACOLOGY: DIABETES. EXAM REVISION

QUESTIONS AND CORRECT ANSWERS (ALREADY GRADED

A+) (2024 UPDATE)

Diabetes Mellitus (definition) - ANSWER- Disorder of carbohydrate metabolism. Deficiency

of insulin or a resistance to the action of insulin. Results in sustained hyperglycemia, polyuria,

polydipsia, ketonuria, and weight loss.


What is the drug - ANSWER- Metformin (glucophage).


Biguanides - ANSWER- decreases glucose production by liver and increases glucose uptake

by muscle. When a patient is diagnosed with DM@ or prediabetes they'll almost immediately be

put on metformin.


Metformin side effects - ANSWER- GI symptoms, diarrhea, lactic acidosis, will not cause

hypoglycemia.


Metformin admin - ANSWER- Oral, slowly absorbed from the small intestine, dose is 500,

850, 1000 mg tablets up to 2000 a day.


Metformin is contraindicated in - ANSWER- Renal insufficiency.


What should be measured when on metformin? - ANSWER- Creatinine levels, if they're higher

than normal they need to be taken off.


Uses for metformin other than diabetes - ANSWER- Polycystic ovary syndrome, can help

regulate menstrual cycles and enhance ovulation.

, Sulfonylureas - ANSWER- promote insulin secretion by the pancreas; may also increase tissue

response to insulin. Very potent. Stimulates insulin secretion and production regardless of blood

glucose level.


Sulfonylureas drug-drug interactions - ANSWER- Commonly added to metformin to improve

glucose control with a reduction of 1-2% in A1C.


Sulfonylureas adverse effects - ANSWER- Hypoglycemia, unlike metformin. They will

stimulate insulin production regardless of glucose level.

May accelerate disease production by inducing B cell exhaustion


Second Generation Sulfonylureas - ANSWER- Glipizide and Glimepiride


Glinides Drug types - ANSWER- Repaglinide (prandin


Nateglinide (Starlix)


Glinides - ANSWER- Hypoglycemic agents similar to sulfonylureas: stimulation of pancreatic

insulin release


Repaglinide (Prandin) Pharmacokinetics - ANSWER- Rapid absorption and rapid elimination.

Peak within one hour after oral dosing. Heptaic metabolism.


Repaglinide (Prandin) adverse effects - ANSWER- Hypoglycemia- patient must eat within

30minutes of digestion.


Nateglinide (Starlix) - ANSWER- similar to prandin, 60-120 mg doses


Repaglinide (Prandin)

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