FNP2 Diabetes Mod 9 Quiz 7

Home > Preview

The flashcards below were created by user MeganM on FreezingBlue Flashcards.


  1. What is the biggest cause of death with DM?
    vascular issues like MI & stroke
  2. When should you start screening adults for DM?
    • age 45, OR
    • overwt/obese and 1 or more RF
  3. When should you start screening for DM in child? How often if negative?
    • age 10 andĀ 
    • overweight and
    • 2 or more RF
    • every 3 yrs
  4. How often should you check A1c in pt with DM?
    • q six mos if stable
    • q 3 mos if unstable
  5. Annual labs for DM pts.
    • fasting lipids
    • LFT
    • Cr
    • urine for microablbumin/Cr ratio
    • TSH
  6. When should you refer a DM pt to nephrology?
    eGFR < 60
  7. DM drug that decreases hepatic glucose production.
    Metformin
  8. CI for Metformin
    • Cr M> or = 1.5; F > or = 1.4
    • eGFR > 50
  9. Which DM drugs have a risk of hypoglycemia?
    • sulfonylureas (glimepiride)
    • glinides (Prandin)
    • SGLT2i (Canagliflozin), low risk
  10. Which DM drugs cause wt gain?
    • TZD (Actos)
    • sulfonylureas (glimepiride (Amaryl))
    • Glinides (Prandin)
  11. Which DM drugs cause wt loss?
    • SGLT2i (Canagliflozin)
    • GLP-1 receptor agonists (Byetta)
    • Amylin mimeticsĀ (Symlin)
  12. SE of Januvia.
    • angioedema
    • pancreatitis
  13. SE of Canagliflozin.
    UTI
  14. SE of Metformin.
    • GI
    • vit B-12 deficiency
  15. Which DM drugs increase insulin production?
    • Amaryl
    • Prandin
    • Januvia
    • Byetta
  16. Which DM drugs decrease pp spike?
    • Prandin
    • Januvia
    • Acarbose
    • Symlin
  17. Which DM drug decreases CHO digestion?
    Acarbose
  18. Which DM drug improves HDL & TG?
    Actos
  19. Which DM drug is CI if GFR < 30?
    Canagliflozin
  20. What should you monitor with SGLT2i, canagliflozin?
    K++
  21. Which DM drug should you monitor LFTs at baseline and PRN?
    Actos
  22. Metformin can be combined with one of which drugs?
    • sulfonylureas (glimepiride, Amaryl)
    • TZD (Actos)
    • DPP4 Inhibitors (Sitagliptan, Januvia)
    • GLP-1 agonist (Byetta)
    • SGLT-2i (Canagliflozin)
  23. At what point could you dx DM after first glucose test?
    • Random plasma glucose 200 or greater AND symptoms of hyperglycemia
    • 2 hour OGTT 200 or greater
  24. When are Asian Americans considered overweight (BMI) for testing for DM?
    23 or higher
  25. At what levels of HDL or TG should a person be tested for DM?
    • HDL < 35
    • TG < 250
  26. If DM is negative and RF, how often screen?
    q 3 years
  27. What should you measure to distinguish b/w T1 and T2 DM?
    c-peptide
  28. When would you check TSH in a DM pt?
    • T1 DM
    • dyslipidemia
    • females >50
  29. Refer to nephrology if eGFR is what?
    < 60

Card Set Information

Author:
MeganM
ID:
321800
Filename:
FNP2 Diabetes Mod 9 Quiz 7
Updated:
2016-07-11 22:18:53
Tags:
FNP2
Folders:
GU,FNP2,Exam 3
Description:
FNP2
Show Answers:

Home > Flashcards > Print Preview