NCLEX- Endocrine DB

  1. Reg insulin onset
    0.5 5o 1 hour
  2. Humalog onset
    15 min
  3. NPH onset
    1 to 2 hours
  4. Tolbutamide (Orinase)
    Sulfonylureas. Results in insulin release from pancrease
  5. Glipizide (Glucotrol)
    Sulfonylureas. Results in insulin release from pancrease
  6. Clients taking Glipizide (glucotrol) should be cautioned from consuming what?
    alcohol. can cause a disulfiram- like reaction (intense n, v, flushing and palpitations).
  7. Repaglinide (Prandin)
    Meglitinides. Results in insulin release from pancreas
  8. When should a pt take Repaglinide (prandin)?
    30 minutes before the clients eats.
  9. Metformin (Glucophage)
    Biguanides. Reduces production of glucose w/in the liver through supression of gluconeogenesis and increases muscles' glucose uptake and use
  10. Pt's taking Metformin (Glucophage) should be monitored for what?
    Lactic Acidosis.
  11. Rosiglitazone (Avandia)
    Thiazolidineidiones (Glitazones). Decreases insulin resistance. Increases gluocse uptake and production
  12. Acarbose (Precose)
    Alpha glucosidase inhibitors. slows carb absorption and digestion
  13. Sitagliptin (januvia)
    Gliptin. promotes release of insulin and decreases glucagon. lowers postprandial blood glucose levels.
  14. Pramlintide (Symlin)
    Amylin mimetic. Decreases postprandial glucose levels. Delays gastric emptying
  15. What does the client need to be informed about Pramlintide (symlin)
    Because the med causes delayed gastric emptying, take oral medis before injecting Pramlintide and discard open vials after 28 days.
  16. Incretin Mimetics
    Exenatide (Byetta). Delays gastric emptying lower postprandial glucose levels. Give 60 min before evening or morning meal.
  17. What is a side effect of Glucagon?
    GI distress (N, V). Turn clients to left side foloowing administration.
Card Set
NCLEX- Endocrine DB
NCLEX- Endocrine DB