Pharmacology of Diabetes and Related Medications
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Questions and Answers

What is the main indication for the use of desmopressin?

  • Hyperthyroidism
  • Thyroid storm
  • Nocturnal enuresis (correct)
  • Cushing disease
  • Which of the following is NOT a consideration when administering levothyroxine?

  • Teach signs of hyperthyroidism
  • Monitor TSH throughout therapy
  • Take in the evening to improve sleep (correct)
  • Do not switch brands without informing the doctor
  • What are the potential outcomes of using radioactive I-131?

  • Cure of Cushing disease
  • Improvement of hyperthyroidism symptoms
  • Increase in thyroid hormone production
  • Permanent reduction of thyroid function (correct)
  • What is a significant risk associated with the chemotherapy agent doxorubicin?

    <p>Irreversible cardio toxicity</p> Signup and view all the answers

    Which of the following is essential to monitor during therapy with filgrastim?

    <p>Fluid intake and blood pressure</p> Signup and view all the answers

    What serious condition is associated with Metformin use?

    <p>Lactic Acidosis</p> Signup and view all the answers

    Which medication is recommended for treating pernicious anemia?

    <p>Cyanocobalamin</p> Signup and view all the answers

    What is the primary effect of Semaglutide in managing diabetes?

    <p>Does not cause hypoglycemia</p> Signup and view all the answers

    How should Ferrous sulfate be taken to improve absorption?

    <p>With orange juice</p> Signup and view all the answers

    Which medication is indicated for the treatment of hyperthyroidism?

    <p>Methimazole</p> Signup and view all the answers

    What is a common side effect associated with Vincristine?

    <p>Nervous system toxicity</p> Signup and view all the answers

    What is the mechanism of action of Glucagon?

    <p>Increases blood sugar levels</p> Signup and view all the answers

    Which medication can result in agranulocytosis?

    <p>Methimazole</p> Signup and view all the answers

    What should be monitored throughout therapy for a patient taking levothyroxine?

    <p>TSH levels</p> Signup and view all the answers

    What is an important education point for patients taking corticosteroids long-term?

    <p>Increase calcium intake</p> Signup and view all the answers

    Which of the following is a clinical manifestation of thyroid storms?

    <p>Fever</p> Signup and view all the answers

    Why should the brand of levothyroxine not be switched without consulting a doctor?

    <p>Different brands may vary in potency and absorption</p> Signup and view all the answers

    What is a key intervention when mixing insulin before administration?

    <p>Inject air into the clear, then cloudy insulin</p> Signup and view all the answers

    What is the mechanism of action of Dapagliflozin?

    <p>Increases glucose secretion in the urine</p> Signup and view all the answers

    Which side effect is most commonly associated with Metformin?

    <p>Metallic taste</p> Signup and view all the answers

    What does PTU treatment primarily target?

    <p>Graves disease or hyperthyroidism</p> Signup and view all the answers

    Which medication is known for causing serious liver disease as a side effect?

    <p>Methimazole</p> Signup and view all the answers

    Which of the following is a critical function of Vitamin D?

    <p>Supports calcium utilization in the body</p> Signup and view all the answers

    What is the onset time for Aspart insulin?

    <p>10-20 minutes</p> Signup and view all the answers

    How should Ferrous sulfate be taken to avoid interactions with other medications?

    <p>1-2 hours before or after other medications</p> Signup and view all the answers

    What is the primary purpose of Cosyntropin in clinical practice?

    <p>To diagnose adrenocortical insufficiency</p> Signup and view all the answers

    Study Notes

    Metformin

    • Black box warning: Lactic Acidosis
    • Preferred oral treatment for Type 2 Diabetes
    • Side effects: Nausea, vomiting, diarrhea, poor appetite, metallic taste
    • Decreases HbA1c

    Lugol's Solution

    • Used during thyroid storm to return thyroid levels to normal

    Aspart Insulin

    • Rapid-acting insulin
    • Onset: 10-20 minutes
    • Ensure proper food intake

    Cyanocobalamin (Vitamin B12)

    • Used to treat pernicious anemia
    • Administered via intramuscular (IM) or subcutaneous (SQ) injection
    • Also known as vitamin B12

    Semaglutide

    • GLP-1 agonist for Type 2 Diabetes
    • Oral medication
    • Does not cause hypoglycemia

    Vitamin D

    • Crucial for calcium absorption in the body

    NPH Insulin

    • Intermediate-acting insulin
    • Often administered twice daily
    • Not typically used for sliding scale dosing

    Epoetin Alfa

    • Treats anemia associated with chemotherapy or end-stage renal disease
    • Administered subcutaneously (SQ) or intramuscularly (IM)
    • Monitor blood pressure before administration
    • Encourage consumption of iron-rich foods
    • Stimulates red blood cell production

    PTU (Propylthiouracil)

    • Used to treat Graves' disease and hyperthyroidism
    • First-line medication
    • Monitor thyroid levels for hypothyroidism
    • Potential for severe liver damage
    • Negative feedback mechanism used to indicate hormone stimulus is not needed by the body
    • Used to diagnose adrenal insufficiency

    Glucagon

    • Secreted by the pancreas in response to decreased blood sugar

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    Description

    This quiz covers various medications used in the treatment of diabetes and related conditions. You will explore important drugs such as Metformin, Aspart Insulin, and Semaglutide, along with their indications, side effects, and mechanisms of action. Test your knowledge on the pharmacology of these vital medications.

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