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Endrocine medications & insulinsMedical-Surgical Nursing-7th edition

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_______ a bottle of insulin can cause bubbles and an inaccurate dose.
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Shaking
Before use, insulin should be _______ to make sure the ingredients are well mixed.
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rolled, not shaken
An increase in aldosterone leads to _______ and _______.
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sodium and water retention
_______ insulin's are cloudy and may contain Protamine or zinc.
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Intermediate acting
What medications work on the alpha cells of the pancreas?
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Byetta and Januvia
Byetta and Januvia are _______.
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Incretin Mimetics
_______ insulin is the only type that can be given via IV and Sub Q.
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Regular
Site and depth of insulin injections affect absorption. Insulin absorption is greater when given in the _______ and _______ areas.
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deltoid and abdominal areas
Only type _______ diabetics can use oral medications.
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II
_______ may need to be increased for patients who take thyroid medications as well.
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Insulin/oral antidiabetic drugs
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Thyroid drugs _______ the effect of oral anticoagulants.
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increase (they are both protein bound)
A serious adverse effect of antithyroid drugs is _______.
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agranulocytosis
The usual maintenance dose of Synthroid is _______.
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50-200 mcg/d
A drug that is used to diagnose adrenal gland dysfunction is _______.
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Metopirone/metyrapone
Parlodel (bromocriptine mesylate) and Sandostatin (octreotide acetate) are used to treat...
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Acromegaly/Gigantism
_______ and _______ insulin's are in clear solutions.
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Rapid and short acting
What are the benefits of Byetta and Januvia? Drawbacks?
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The more glucose ingested, the better it works. Weight loss (great for type II). Given one or 2 times a day. Expensive!
_______ drugs taken with thyroid drugs causes an increase in CNS actions.
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Adrenergics like decongestants
Clients taking thiazolidinedione drugs such as pioglitazone (Actos) and rosiglitazone (Avandia) should have what lab test monitored?
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Liver enzymes
How does Actos and Avandia work?
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Increases beta cell secretion of insulin. Increases cell receptor responses.
In maturity-onset/Type II diabetes, the oral antidiabetic drug group that stimulates beta cells to secrete more insulin is _______.
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sulfonylureas
  
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