NR 565 final Exam 20 Questions with Answers 2023
Criteria for DM diagnosis - CORRECT ANSWER Hemoglobin A1c ≥ 6.5%
Fasting plasma glucose
... [Show More] (FPG) ≥ 126 mg/dL (8-hour fast)
2-hour oral glucose tolerance test; common test for pregnant women ≥ 200 mg/dL
Classic symptoms and random plasma glucose ≥200 mg/dL (classic symptoms: polyuria, polydipsia, unexplained weight loss)
Basic overview of tx DM - CORRECT ANSWER Step 1: lifestyle and metformin
Step 2: add second job
Step 3: 3 drug combo
Step 4: injectable regimen possibly GLP-1
Biguanides (Metformin) black box and side effects - CORRECT ANSWER Black box: lactic acidosis - hemodialysis can remove accumulates metformin
Side effects: decreased appetite, nausea, diarrhea, vit b12, folate
Monitor renal function if GFR < 30 dc drug
Sulfonylureas Contraindications - CORRECT ANSWER Pregnancy
Type 1DM
BF
Renal and hepatic dysfunction
Sulfonylureas drug examples and education - CORRECT ANSWER -"ides"
Only for type 2 diabetes
Educate on s/s of hypoglycemia
Meglitinides - CORRECT ANSWER Only for type 2 dm, same as sulfonylureas, stimulate pancreatic insulin release
Contraindicated in liver impairment and gemfibrozil
Meglitinides drugs - CORRECT ANSWER Glinides
TZDs - CORRECT ANSWER Only type 2
Avoid in heart failure and bladder cancer
TZD drugs end in - CORRECT ANSWER -"zones"
SGLT2 inhibitors end - CORRECT ANSWER -flozin
SGLT-2 contraindications - CORRECT ANSWER If can't get to bathroom easily
Caution with vulvovaginal and uti infections
SGLT 2 educate - CORRECT ANSWER S/s hypoglycemia, UTI infections or vulvovaginal infections
Stay hydrated
Dipeptidyl Peptidase-4 Inhibitors end - CORRECT ANSWER Gliptin
DPP-4 inhibitors MOA - CORRECT ANSWER increase insulin production and decrease glucose production
DPP-4 inhibitors contraindications - CORRECT ANSWER Pancreatitis
DPP-4 inhibitors educates - CORRECT ANSWER S/s hypoglycemia
May see weight loss
GLP-1 agonists end in - CORRECT ANSWER Tides
GLP-1 agonists 4 actions - CORRECT ANSWER Increase dullness
Delay gastric emptying
Increase sensitivity to insulin
Cardio protective
GLP-1 agonists contraindications - CORRECT ANSWER Pregnancy
Renal dysfunction/ transplant
Pancreatitis
If pt has personal or family hx of thyroid carcinoma
Education on GLP-1 agonist - CORRECT ANSWER Delay gastric emptying so May effect other drugs that are taken [Show Less]