34 Questions
What is the primary mechanism of action of pramlintide?
Slowing gastric emptying and reducing glucagon secretion
Which side effect is commonly associated with pramlintide therapy?
Hypoglycemia
Where should pramlintide be injected subcutaneously?
Thigh or abdomen
What is the class of medications that pramlintide belongs to?
Amylin analogs
What is the brand name of the medication that contains pramlintide?
Symlin
What is the effect of pramlintide on appetite?
Decreases appetite
What is the effect of pramlintide on glucagon secretion?
Decreases glucagon secretion
What is the effect of pramlintide on gastric emptying?
Slows gastric emptying
What is the primary purpose of self-monitoring of blood glucose in diabetes management?
To make decisions about food intake and activity patterns
In which situation is emergency management of DKA necessary?
When fluid and electrolyte imbalances are severe
What is the primary goal of fluid and electrolyte therapy in DKA management?
To replace extracellular and intracellular water and correct electrolyte deficits
What is a potential complication of insulin therapy in DKA management?
Hypokalemia
How is insulin administered in HHS management?
By IV infusion
What is the main difference between the management of DKA and HHS?
HHS requires more fluid replacement
What is the primary goal of monitoring electrolytes in HHS management?
To monitor and replace electrolyte deficits
Why is HHS considered a medical emergency?
Because it has a high mortality rate
What is the first action to take when a patient shows signs of hypoglycemia?
Check the patient's blood glucose level if possible
What is the 'Rule of 15' used for in hypoglycemia treatment?
To administer 15g of simple carbohydrate, then recheck the blood glucose level 15 minutes later
Why should the patient avoid consuming large quantities of quick-acting carbohydrates during hypoglycemia treatment?
To avoid a rapid fluctuation to hyperglycemia
What should be administered to an unconscious patient experiencing hypoglycemia?
A subcutaneous or IM injection of 1mg glucagon, or IV administration of 25-50mL of 50% glucose
What is the primary goal of providing additional patient teaching after an acute episode of hypoglycemia?
To avoid future episodes of hypoglycemia
What is the recommended blood glucose level at which to initiate treatment for hypoglycemia?
Below 70mg/dL
What should the patient ingest after recovery from an acute episode of hypoglycemia to prevent another hypoglycemic attack?
A complex carbohydrate
When should the HCP be contacted during hypoglycemia treatment?
If no significant improvement occurs after two or three doses of 15g of simple carbohydrate
What is the primary effect of GLP-1 agonist drugs on insulin?
Increase insulin release
What is the recommended duration of moderate-intensity aerobic physical activity per week?
At least 150 minutes
What is the potential effect of delayed gastric emptying on other oral medications?
Decreased absorption
What is the primary goal of nutrition therapy in type 2 diabetes?
Achieving glucose, lipid, and BP goals
What is the recommended frequency of resistance training per week?
3 times
What is the potential effect of regular exercise on blood glucose levels?
Decrease blood glucose levels
Who is often responsible for initially teaching the principles of nutrition in interprofessional diabetes care?
Dietitian
What is the potential effect of GLP-1 agonist drugs on gastric emptying?
Decrease gastric emptying
What is the recommended timeframe for taking fast-acting oral agents before injecting a GLP-1 agonist drug?
At least 1 hour
What is the potential effect of modest weight loss on insulin resistance and glucose control?
Improve insulin resistance and glucose control
Test your knowledge of various medications used in medical-surgical nursing, including Qtern, Qternmet XR, Segluromet, Steglujan, Synjardy, and more. Identify the correct combinations and effects of these medications. This quiz is designed for nursing students and professionals who want to improve their understanding of pharmaceuticals in medical-surgical nursing.
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