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Unit 4 Pharmacology
Safely preparting & giving drugs, Diabetes management
| Question | Answer |
|---|---|
| SYMPTOM OF HYPERGLYCEMIA | INCREASED THIRST AND URINATION |
| SYMPTOM OF HYPERGLYCEMIA | LARGE AMOUNTS OF SUGAR IN THE BLOOD |
| SYMPTOM OF HYPERGLYCEMIA | KETONES IN URINE |
| SYMPTOM OF HYPERGLYCEMIA | WEAKNESS, STOMACH PAINS, GENERAL ACHES |
| SYMPTOM OF HYPERGLYCEMIA | HEAVY, LABORED BREATHING |
| SYMPTOM OF HYPERGLYCEMIA | LOSS OF APPETITE, NAUSEA AND VOMITING |
| SYMPTOM OF HYPERGLYCEMIA | FATIGUE |
| SYMPTOM OF HYPOGLYCEMIA | COLD SWEAT, FAINTNESS, DIZZINESS |
| SYMPTOM OF HYPOGLYCEMIA | HEADACHE |
| SYMPTOM OF HYPOGLYCEMIA | POUNDING OF HEART, TREMBLING, NERVOUSNESS |
| SYMPTOM OF HYPOGLYCEMIA | BLURRED VISION |
| SYMPTOM OF HYPOGLYCEMIA | HUNGER |
| SYMPTOM OF HYPOGLYCEMIA | IRRITABILITY |
| SYMPTOM OF HYPOGLYCEMIA | PERSONALITY CHANGE |
| SYMPTOM OF HYPOGLYCEMIA | NOT ABLE TO AWAKEN |
| WHAT TO DO FOR HYPERGLYCEMIA | CALL DOCTOR IMMEDIATELY |
| WHAT TO DO FOR HYPERGLYCEMIA | DRINK FLUIDS WITHOUT SUGAR IF ABLE TO SWALLOW |
| WHAT TO DO FOR HYPERGLYCEMIA | TEST BLOOD SUGAR FREQUENTLY |
| WHAT TO DO FOR HYPERGLYCEMIA | TEST URINE FOR KETONES IF BLOOD SUGAR IS GREATER THAN 240 MG/DL |
| WHAT TO DO FOR HYPERGLYCEMIA | IF USING AN INSULIN PUMP, CHANGE THE INFUSION SET, RESERVOIR AND INSULIN |
| WHAT TO DO FOR HYPERGLYCEMIA | IF INSULIN PUMP SUPPLIES ARE NOT AVAILABLE, GIVE REGULAR INSULIN VIA INSULIN SYRINGE ACCORDING TO PRESCRIBED SLIDING SCALE |
| WHAT TO DO FOR HYPOGLYCEMIA | CHECK BLOOD SUGAR LEVEL IF POSSIBLE |
| WHAT TO DO FOR HYPOGLYCEMIA | TAKE 3 BD GLUCOSE TABLETS, LIQUIDS OR FOODS CONTAINING SUGAR |
| WHAT TO DO FOR HYPOGLYCEMIA | WAIT 15 MINUTES AND RECHECK BLOOD SUGAR |
| WHAT TO DO FOR HYPOGLYCEMIA | IF BLOOD SUGAR IS STILL LESS THAN 60 MG/DL, TREAT WITH BD GLUCOSE TABLETS OR LIQUIDS/FOODS CONTAINING SUGAR. FOLLOW THE NEXT MEAL OR SNACK |
| WHAT TO DO FOR HYPOGLYCEMIA | DO NOT GIVE ANYTHING BY MOUTH IF NOT CONSCIOUS |
| WHAT TO DO FOR HYPOGLYCEMIA | IF UNCONSCIOUS GIVE GLUCAGON ACCORDING TO PACKAGE DIRECTIONS AND CALL LOCAL EMERGENCY MEDICAL SERVICES |
| WHAT TO DO FOR HYPOGLYCEMIA | REPORT ALL MODERATE AND SEVERE REACTIONS TO DOCTOR |
| CAUSES OF HYPERGLYCEMIA | NOT ENOUGH INSULIN |
| CAUSES OF HYPERGLYCEMIA | TOO MUCH FOOD |
| CAUSES OF HYPERGLYCEMIA | INFECTION, FEVER, ILLNESS |
| CAUSES OF HYPERGLYCEMIA | EMOTIONIAL STRESS |
| CAUSES OF HYPOGLYCEMIA | TOO MUCH INSULIN |
| CAUSES OF HYPOGLYCEMIA | NOT EATING ENOUGH FOOD |
| CAUSES OF HYPOGLYCEMIA | UNUSUAL AMOUNT OF EXERCISE |
| CAUSES OF HYPOGLYCEMIA | DELAYED MEAL |
| CAUSES OF HYPOGLYCEMIA | DRINKING ALCOHOL WITHOUT EATING FOOD |
| SUBCUTANEOUS DRUGS ARE INJECTED INTO TISSUES BETWEEN THE: | SKIN AND MUSCLES. |
| FOR SUBCUTANEOUS INJECTIONS, THE NEEDLE IS INSERTED AT WHAT ANGLE? | 45-DEGREE ANGLE |
| FOR SUBCUTANEOUS INJECTIONS, THE LENGTH AND GAUGE OF THE NEEDLE SHOULD BE: | 3/8" TO 5/8", 25-27 GAUGE |
| INTRAMUSCULAR DRUGS ARE INJECTED DEEP INTO: | A MUSCLE. |
| FOR INTRAMUSCULAR INJECTIONS,THE NEEDLE IS INSERTED AT WHAT ANGLE? | 90-DEGREE ANGLE |
| FOR INTRAMUSCULAR INJECTIONS, THE LENGTH AND GAUGE OF THE NEEDLE SHOULD BE: | 1" TO 1 1/2", 20-22 GUAGE |
| THE TYPICAL AMOUNT FOR A SUBCUTANEOUS INJECTIONS IS ______ ML | 0.5-1 ML |
| THE TYPICAL AMOUNT FOR AN INTRAMUSCULAR INJECTION FOR AN ADULT IS _____ ML. | 3 ML |
| THE ONSET OF ACTION FOR RAPID-ACTING INSULIN IS: | 5 TO 15 MINUTES |
| THE PEAK FOR RAPID-ACTING INSULIN IS: | 30 TO 60 MINUTES |
| THE DURATION FOR RAPID-ACTING INSULIN IS: | 3 TO 5 HOURS |
| THE BRAND NAMES FOR RAPID-ACTING INSULIN ARE: | HUMALONG, NOVOLOG, APIDRA |
| THE ONSET OF ACTION FOR SHORT-ACTING INSULIN IS: | 30 MINUTES |
| THE PEAK FOR SHORT-ACTING INSULIN IS: | 2 TO 3 HOURS |
| THE DURATION FOR SHORT-ACTING INSULIN IS: | 3 TO 6 HOURS |
| THE BRAND NAMES FOR SHORT-ACTING INSULIN ARE: | HUMULIN R AND NOVOLIN R |
| THE ONSET OF ACTION FOR INTERMEDIATE-ACTING INSULIN IS: | 2 TO 4 HOURS |
| THE PEAK FOR INTERMEDIATE-ACTING INSULIN IS: | 4 TO 12 HOURS |
| THE DURATION FOR INTERMEDIATE-ACTING INSULIN IS: | 12 TO 18 HOURS |
| THE BRAND NAMES FOR INTERMEDIATE-ACTING INSULIN ARE: | HUMALIN N NOVOLIN N |
| THE ONSET OF ACTION FOR LONG-ACTING INSULIN IS: | 1 TO 2 HOURS (DETEMIR) 1 HOUR (GLARGINE) |
| THE PEAK FOR LONG-ACTING INSULIN IS: | 6 TO 8 HOURS ( DETEMIR) VIRTUALLY NO PEAK (GLARGINE) |
| THE DURATION OF LONG-ACTING INSULIN IS: | 6 TO 23 HOURS DEPENDING ON DOSE (DETEMIR) 24 HOURS (GLARGINE) |
| THE BRAND NAMES FOR LONG-ACTING INSULIN ARE: | LEVEMIR (DETEMIR) LANTUS (GLARGINE) |
| THE ONSET OF ACTION FOR PRE-MIXED INSULIN IS: | 30 MINUTES |
| THE PEAK OF PRE-MIXED INSULIN IS: | 2 TO 4 HOURS |
| THE DURATION OF PRE-MIXED INSULIN IS: | 22 TO 24 HOURS |
| THE BRAND NAMES FOR PRE-MIXED INSULIN ARE: | HUMALOG MIX 75/25 HUMALOG MIX 50/50 HUMULIN MIX 70/30 HUMULIN MIX 50/50 NOVOLOG MIX 70/30 NOVOLIN MIX 70/30 |
| THE NURSE WILL INSTRUCT THE PATIENT TO ROTATE INJECTION SITES FOR INSULIN TO MINIMIZE THE RISK OF DEVELOPING: | LIPOHYPERTROPHY |
| WHAT TYPE OF DIABETES MAY BE CONTROLLED BY DIET AND EXERCISE? | TYPE 2 |
| WHEN MIXING SHORT-ACTING INSULIN WITH LONGER-ACTING INSULIN, WHICH DO YOU DRAW UP FIRST? | THE SHORT-ACTING INSULIN |
| SHORT-ACTING INSULINS, INSULIN GLARGINE AND INSULIN DETEMIR SHOULD APPEAR CLOUDY, DISCOLORED, OR CLEAR? | CLEAR |
| A NURSE IS CARING FOR A CLIENT WHO HAS TYPE 2 DIABETES MELLITUS AND A PRESCRIPTION FOR ROSIGLITAZONE (AVANDIA). THE NURSE SHOULD MONITOR THE CLIENT FOR: | EDEMA |
| A NURSE IS REINFORCING TEACHING TO A CLIENT WHO IS PRESCRIBED PRAMLINTIDE (SYMLIN)FOR TYPE 1 DIABETES. WHAT SHOULD THE NURSE INCLUDE IN THE TEACHING? | TAKE ORAL MEDICATIONS 1 HOUR BEFORE OR 2 HOURS AFTER PRAMLINTIDE. |
| A NURSE IS REINFORCING TEACHING FOR A CLIENT NEWLY DIAGNOSED WHO HAS TYPE 2 DIABETES MELLITUS. WHAT SHOULD THE NURSE INCLUDE IN THE TEACHING? | CARRY A FAST-ACTING GLUCOSE SOURCE AT ALL TIMES EAT A SNACK PRIOR TO PLANNED EXERCISE INSPECT FEET SURFACES DAILY |
| A NURSE IS CARING FOR A GROUP OF CLIENTS WHO NEED INSULIN INJECTIONS. THE NURSE SHOULD RECOGNICE THAT HE CAN MIX WHICH INSULINS IN THE SAME SYRINGE WITH ANOTHER INSULIN? | INSULIN LISPOR (HUMALOG) INSULIN GLULISINE (APIDRA) INUSLIN ASPART (NOVOLOG) |
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