NURS 3119 Endocrine Meds Exam 3
Questions With Correct Answers
What are Examples of Medications for Diabetes? Describe each. - answer✔>Insulin - moves
glucose into cells
>Oral antidiabetic medications - makes endogenous insulin work better
>Mimetics - injections that mimic hormones to control BS
>Hyperglycemia agents - glucagon or D50 increases blood sugar in emergency
What is the Mechanism of Action of Insulin? - answer✔>Promote cellular uptake of glucose
>Converts glucose into glycogen (energy source)
>Moves potassium into cells
What are the 6 Classifications of Insulin? - answer✔>Rapid-Acting
>Short-Acting
>Intermediate-Acting
>Long-Acting
>Ultra-Long Acting
>Pre-Mixed Insulins
What is an Example of Rapid-Acting Insulin? Onset? Peak? Duration? - answer✔Lispro insulin
>Onset: 15-30 minutes
>Peak: 0.5-2.5H
>Duration: 3-6H
What is an Example of Short-Acting Insulin? Onset? Peak? Duration? - answer✔Regular insulin
>Onset: 0.5-1H
What is an Example of Intermediate-Acting Insulin? Onset? Peak? Duration? - answer✔NPH
Insulin
>Onset: 1-2H
>Peak: 6-14H
>Duration: 16-24H
What is an Example of Long-Acting Insulin? Onset? Peak? Duration? - answer✔Insulin glargine
(clear do not mix; do not give IV)
>Onset: 70M
>Peak: none
>Duration: 24H
What is an Example of Ultra Long-Acting Insulin? Duration? - answer✔>U-300 insulin glargine
>Insulin degludec
>Duration: >24H
What is an Example of Pre-Mixed Insulin? - answer✔Intermediate and a short/rapid acting
insulin
How to Dose for Intermediate/Long Acting Insulin? Rapid and Short-Acting? -
answer✔INTERMEDIATE/LONG:
>Usually adjusted to levels over time
RAPID AND SHORT:
>Added in based on blood sugar levels or CHO count
When Might Patients Need a Larger Insulin Dose? Smaller Dose? - answer✔>Patients may need
larger dose when sick, stressed, growing, pregnant, taking certain medications, or eating more
calories
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