{"id":115145,"date":"2023-08-23T12:13:11","date_gmt":"2023-08-23T12:13:11","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=115145"},"modified":"2023-08-23T12:13:14","modified_gmt":"2023-08-23T12:13:14","slug":"nurs-5334-nurs5334-advanced-pharmacology-exam-3-study-guide-questions-with-answers","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/23\/nurs-5334-nurs5334-advanced-pharmacology-exam-3-study-guide-questions-with-answers\/","title":{"rendered":"NURS 5334 \/ NURS5334 ADVANCED PHARMACOLOGY EXAM 3 STUDY GUIDE. QUESTIONS WITH ANSWERS."},"content":{"rendered":"\n

NURS 5334 EXAM 3<\/p>\n\n\n\n

    \n
  1. What drugs are used to treat gestational diabetes?
    Metformin and Insulin<\/li>\n\n\n\n
  2. What A1C value indicates diabetes mellitus? Pre-DM?
    6.5% or greater is considered diabetes
    5.7-6.4% pre-diabetes<\/li>\n\n\n\n
  3. What fasting and random values indicate DM?
    Fasting plasma glucose\u2014126 or greater is diabetes
    Random (casual) plasma glucose\u2014anything greater than 200 is diabetes<\/li>\n\n\n\n
  4. What are complications of insulin therapy?
    Hypoglycemia
    Can develop lipohypertrophy
    \uf0d8 Accumulation of subcutaneous fat that occurs when it is injected too frequently at
    the same site
    Allergic reactions
    \uf0d8 Characterized by red and intensely itchy welts, breathing becomes difficult
    \uf0d8 If severe allergy develops:
    -Desensitization procedure (small doses to larger doses)
    Hypokalemia
    \uf0d8 Promotes the uptake of potassium cells and insulin activates a membrane-bound
    enzyme with sodium potassium and ATPase that pumps potassium into the cells
    and sodium out<\/li>\n\n\n\n
  5. Drug interactions?
    Hypoglycemic agents
    \uf0d8 Can intensify the hypoglycemia included by insulin
    \uf0d8 Examples: sulfonylureas, glinides, alcohol
    Use with caution with hyperglycemic agents
    \uf0d8 Examples: thiazide and glucocorticoids and sympathomimetics<\/li>\n\n\n\n
  6. What effect do beta blockers have on insulin?
    \uf0a7 delay awareness of and response to hypoglycemia by masking the signs that are
    associated with stimulation of sympathetic nervous system
    \uf0a7 Impair glycogenolysis
    \uf0a7 Prevent the bodies counter-regulatory response<\/li>\n\n\n\n
  7. What are other therapeutic uses besides DM?
    \uf0a7 Hyperkalemia
    \uf0a7 Aids in diagnosis of GH deficiency
    \uf0a7 Diabetic ketoacidosis<\/li>\n\n\n\n
  8. Insulin dosage must be coordinated with what?
    Carbohydrate intake<\/li>\n\n\n\n
  9. What is B\/P goal in diabetic?
    To be controlled, within normal 120\/80<\/li>\n\n\n\n
  10. What medication can be given to decrease risk of diabetic nephropathy?
    ACE inhibitor or ARB<\/li>\n\n\n\n
  11. What role does exercise play in treatment of both type 1 and type 2 DM?
    \uf0d8 Exercise increases cellular responsiveness to insulin and increases glucose
    tolerance
    \uf0d8 150 minute per week of moderate intensity exercise is recommended<\/li>\n\n\n\n
  12. What are the 4 steps in the 4-step approach?
    Step 1\u2014diagnosis
    \uf0a7 Lifestyle changes plus metformin
    Step 2
    \uf0a7 Lifestyle changes plus metformin and a second drug (sulfonylurea, TZD or a
    DPP4 inhibitor, a sodium glucose cotransporter or SGLT-2 inhibitor, a glucagonlike peptide 1, or a GLP-1 receptor agonist or basal insulin
    \uf0a7 Second drug choice made considering efficacy, the hypoglycemia risk of the
    patient, the patient tolerability, and weight-related considerations (some help
    weight loss, some cause weight gain), cost
    Step 3
    \uf0a7 Three drug combination
    \uf0a7 Metformin
    \uf0a7 Plus 2 other drugs from step 2
    Decided based on a drug and patient specific considerations
    Step 4
    \uf0a7 If 3 drug combination that includes basal insulin fails after 3-6 months, more
    complex insulin regimen
    \uf0a7 Usually in combination with one or more non-insulin medications<\/li>\n\n\n\n
  13. When a patient is on insulin therapy what are the blood glucose goals before
    meals? At bedtime?
    \uf0a7 Before meals\u201470-130
    \uf0a7 Bedtime\u2014100-140<\/li>\n\n\n\n
  14. What is the A1C goal? When is goal below 7 not appropriate?
    \uf0a7 7% or below
    \uf0a7 Those with severe hypoglycemia risk, limited life expectancy, advanced micro
    vascular or macro vascular complications\u2014not below 7<\/li>\n\n\n\n
  15. What are the short acting insulins? Intermediate? Long acting?
    Short duration: Rapid acting
    \uf0a7 Insulin lispro [Humalog]
    \uf0a7 Insulin aspart [NovoLog]
    \uf0a7 Insulin glulisine [Apidra]
    Short duration: Slower acting
    \uf0a7 Regular insulin [Humulin R, Novolin R]
    Intermediate duration
    \uf0a7 Neutral protamine Hagedorn (NPH) insulin
    \uf0a7 Insulin detemir [Levemir]
    Long duration
    \uf0a7 Insulin glargine<\/li>\n\n\n\n
  16. When are short duration insulins used?
    \uf0a7 Administered in association with meals to control the post-prandial rise in blood
    glucose between meals and at night<\/li>\n\n\n\n
  17. When are intermediate insulins needed?
    \uf0a7 Administer 2-3 times daily to provide glycemic control between meals and during
    the night<\/li>\n\n\n\n
  18. How long is duration of glargine? Levemir? Degludec?
    \uf0a7 Glargine\u2014up to 24 hour<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

    NURS 5334 EXAM 3<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-115145","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/115145","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=115145"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/115145\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=115145"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=115145"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=115145"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}