Nurs 615 Exam Iv With Complete Solutions

When changing from NPH to glargine insulin, how will you adjust the patient's dose? {Ans: The initial dose of glargine is reduced by 20% to prevent hypoglycemia.}Protein restriction helps slow the progression of albuminuria, GFR decline, and ESRD is some patients with diabetes. It is useful for patients who: A. Cannot tolerate ACE inhibitors or ARBs B. Have uncontrolled hypertension C. Have HbA1C levels above 7% D. Show progression of diabetic nephropathy despite optimal glucose and blood pressure control {Ans: D. Show progression of diabetic nephropathy despite optimal glucose and blood pressure control}What are the drug interactions when prescribing poglitazone? {Ans: Metabolized by the CYP 2C8 which induces just like oral contraceptives. Oral contraceptives will be less effective, which leads to more unintended pregnancies. Council patients to change to a more reliable method of birth control that is not metabolized by the liver such as depropravera, long acting reversible contraceptives such as the IED or implantable contraceptives such as nexplanon}What is the onset of action, peak of action, and duration of action of each insulin preparation? {Ans: (Intermediate Acting) NPH Onset-60-90 min after administration, Peak 48 hrs Duration 10-18 hrs. (Short Acting) Regular Onset 30-60 min