NUR 2474 Pharm Final

NUR 2474 Pharm Final

• pt blood sugar is 317 what insulin should be prepared to give in am

Answer fast acting novalog, lispro

• type 1 diabetic with cystic fibrosis, what is the 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

• glargine insulin

Answer long acting

• when should glargine insulin be given

Answer in the evening

• what is the concern for insulin with (propranolol (beta blocker for HTN)

Answer hy- poglycemia propranolol mask the signs

• 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

• Diabetic pt on metformin is having a CT w/ contrast. What education is needed? 1 / 2

Answer hold metformin 24-48 hrs before ct and hold for 48 hrs after. encourage fluids

• med given for hyprothyroidism

Answer levothyroxine take in am on empty stomach

• warfarin and cephalexin

Answer increases risk of gi bleed asses pt for bruising and educate py on s/s of bleeding. check inr levels frequently

• warfarin teaching

Answer avoid eating to many dark leafy greens exercise routine inr labs take evening 4pm labs done in morning

• what can happen to fetus if hypothyroidism goes untreated

Answer miscarriage neurosphycological birth defects underweight

• side effects of estrogen therapy

Answer ovarian cancer blood clots bleeding

• what type of estrogen therapy has the least amount of side effects

Answer trans- dermal

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