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Terms in this set (24)
What are oral anti diabetics used for?
-Pts w/ type 2
What are side effects of Glipizide?
What are interactions of glipizide?
-Alcohol (disulfiram like reaction)
What are nursing actions for glipizide?
-Give 30 min prior to meal
What is the side effects of Metformin?
What are interactions w/ Metformin?
-iodine containing contrast media can cause kidney failure
What are nursing actions for Metformin?
-Take 2x/day w/ breakfast and dinner
-D/c before any procedure that has contrast dye; can resume 48hrs after
What does acarbose do?
-Slows carbohydrate absorption
What are side effects of acarbose?
What are nursing actions for acarbose?
-Must take w/ 1st bite of food 3x/day
what is a rapid acting insulin? onset, peak, duration?
-Onset: 15-30 min
-Peak: 0.5-2.5 hr
-Duration: 3-6 hr
What is a short acting insulin? Onset, peak, duration?
-Onset: 0.5-1 hr
-Peak: 1-5 hrs
-Duration: 6-10 hr
What is an intermediate acting insulin? Onset, Peak, duration?
-Onset: 1-2 hr
-Peak: 6-14 hr
-Duration: 16-24 hr
What are side effects of insulin?
-Hypoglycemia (cold and clammy)
-Acute hypoglycemia: tachycardia, shakiness/Gradual: headache, tremor, weakness
-Lipohypertrophy (rotate injection sites)
What is a long acting insulin? Onset, peak, duration?
-Onset: 70 min
-Duration: 24 hr
What are the insulins that can NEVER be mixed?
What is the insulin that is dose dependent?
-Determir (the more the dose, the longer it lasts)
What insulin should you draw up first, clear or cloudy?
-Clear then cloudy
What insulin is clear?
What insulin is cloudy?
If a patient is receiving Lispro, where should their meal tray be?
-In front of pt
If a pt is receiving Regular insulin, where should their tray be?
-On the way up (15-30 min)
If a pt is hypoglycemic and conscious what can you give them? Unconscious?
-15g carbs (4oz OJ, 2 oz grape juice, 8 oz milk)
-If not conscious, administer parenterally
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