Reference no: EM133911616
Questions
1. Insulin is secreted by the beta cells from the liver? True or False
2. The most common reaction and potentially dangerous compilation of insulin treatment? ______________
3. Insulin chart: What is the Insulin Duration/ PEAK(hr) /DURATION (hr)/ What time of day should it be injected? For Novolog, Humulin R, Novolin N, Lantus and Tresiba?
4. Which medication reduces the risk of developing type 2 diabetes by 31%? (use generic name)____________
What is the mechanism of action for this drug (there are 3 components)? _________,____________,_____________
Is this drug suitable for a patient that skips meals?________ Why? _________
5. Diabetes Case Study
Ms. Sanchez is 44 year-old female and you suspect she may have type 2 diabetes. She has a strong family history, a BMI of 41, and elevated triglycerides. You check a fasting blood sugar and it is 139 and her Hemoglobin A1c is 7.0
You decide to start her on metformin as she has no contraindications.
Name 1 common side effect of this drug?__________
6. After several months, Ms. Sanchez's diabetes remains uncontrolled. You start a sulfonylurea to help improve her diabetes.
7. When would this drug not be beneficial in a type 2 diabetic patient?
(hint: the reason it is not used in type 1 diabetes)
8. Name one class of oral antidiabetic drugs that is contraindicated with an eGFR less than 30.
9. List one medication that can increase the risk of the following:
Amputation______
Thyroid c-cell tumors_________
Congestion heart failure_________
B12-defeciency__________
Bladder cancer___________
10. Levothyroxine replaces T3 or T4?
11. Does Levothyroxine have a wide therapeutic index or narrow therapeutic index?
12. Which thyroid drug is used for rapid replacement for severe deficiency?
13. Devise a brief teaching plan on how to take levothyroxine? (key hint: with or without food?)
14. What is the first-line medication for hyperthyroidism?
15. What is the mechanism of action for the drug selected (2 components)?
Why does it take 3 - 12 weeks to active a euthyroid state?