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Endrocine medications & insulinsMedical-Surgical Nursing-7th edition

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Question Answer
_______ is sometimes added to corticotropin preparations to _______ the absorption rate.
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Zinc to slow rate
Prandin and Starlix are _______. They work by _______.
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Meglitinides; stimulate beta cells to secrete insulin
_______ is frequently used as initial therapy for treating myxedema. It is well absorbed, has a short half-life, but isn't good for maintenance.
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Liothyronine (Cytomel)
Vasopressin (pitressin) and desmopressin acetate (DDAVP) are used to treat...
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Diabetes Insipidus
Short acting insulin has an onset of action in ________ minutes. The peak occurs in ________ hours and the duration of action is _______ hours.
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Onset of action: 30-60 minutes; peak: 2-4 hours; duration of action:: 6-8 hours
How do sulfonylureas like Dymelor work?
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They stimulate the beta cells to secrete more insulin. This increases the insulin cell receptors, increasing the ability of the cells to bind insulin for glucose metabolism.
What side effects can occur from antithyroid drugs?
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Hives; Alopecia, loss of hair color; Petechiae; Ecchymoses (superficial bruises); and Agranulocytosis.
The onset of intermediate acting insulin is _______ hours. Peak action occurs in _______ hours and the duration of action is _______ hours.
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Onset of action: 1-2 hours; peak: 6-12 hours; duration of action:: 18-24 hours.
Actos and Avandia are _______. They are taken _______ a day and have a decreased risk of _______.
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Thiazolidines (TZD's); taken once a day; decreases risk of hypoglycemia
Insulin is absorbed most quickly from which injection site?
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The abdomen.
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What are the recommended sites for insulin injections?
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Upper arm, anterior and lateral thigh, butt, and abdomen.
Which syringe is used for U-500 insulin?
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1 mL tuberculin syringe.
Only _______ insulin can be given via IV.
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regular
A _______ dictates a certain dose of insulin based on their blood glucose level.
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sliding scale
True or False? If an insulin vial is cloudy, you should shake it to reconstitute it.
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False; roll it, bubbles mess up dosing
If regular and intermediate acting insulin are both ordered, which should be prepared 1st?
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Regular then intermediate.
Which two insulin's should never be mixed with other types of insulin?
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Glargine (Lantus) and Detemir (Levemir)
Inject rapid acting insulin's mixed with NPH, Lente or Ultralente within _______ before a meal.
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15 minutes
Don't mix phosphate buffered insulin's like NPH with _______ insulin's.
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Lente
When mixing short-acting and intermediate acting insulin, which should be drawn 1st?
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Intermediate
How quickly should a mixed insulin be administered after preparing it?
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5 minutes
  
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