NUR 2474 Pharm Final

NUR 2474 Pharm Final
1. pt blood sugar is 317 what insulin should be prepared to give in am
Answer
fast acting novalog, lispro
2. type 1 diabetic with cystic fibrosis, what isthe first thing to do before giving insulin
Answer
determine if pt can eat , if yes have food available we dont want to give fast acting insulin at 7
am if breakfast doesnt come until 8
3. glargine insulin
Answer
long acting
4. when should glargine insulin be given
Answer
in the evening
5. what isthe concern for insulin with (propranolol (beta blocker for HTN)
Answer
hy- poglycemia propranolol mask the signs
6. type 2 diabetes started on glipizide what education is needed
Answer
diet/exercise take once a day
monitor blood sugar 4xday weigh daily
do not take is pt has allergy to sulfa no alcohol of high sugar intake
7. Diabetic pt on metformin is having a CT w/ contrast.What education is needed?
Answer
hold metformin 24-48 hrs before ct and hold for 48 hrs after. encourage fluids