Nurs 251 Pharmacology |263 Questions| With Correct Answers.

Sliding Scale insulin Dosing {Ans: Rapid or short acting insulins are adjusted according to plasma glucose test results DISADVANTAGE: Delays insulin administration until hyperglycaemia occurs}Adverse Effects: Anticholinergic {Ans: Suppreses CNS, urinary retention, dry skin, blurred vision, hypotension, brady-tachy-cardia (abnormal), sexual dysfunction, headache, dizziness, confusion, anxiety, drowsiness, flushing}Older Adult Considerations: Metabolism {Ans: Aging liver produces fewer microsomal enzymes, affecting drug metabolism. Blood flow to the liver is reduced. Leads to a prolonged half-life of many drugs Potential for accumulation if not monitored}Glucose Elevating Glucagon {Ans: Used in the event of hypoglycemia Concentrated Glucose: Rapidly dissolving buccal tablets given and semisolid gels for oral use; better than regular sugar Intravenous glucose solutions up to 50% D50W Glucagon: a natural hormone given by injection Diazoxide: useful for long-term illness such as pancreatic cancer (oral) Example of hypoglycemic protocol}Drug Therapy During Breast-Feeding {Ans: Breastfed infants are at risk for exposure to drugs consumed by the mother Breast milk is not the primary route for maternal drug excretion Drug levels in breast milk are usually lower than in maternal circulation Exposure depends on volume of consumed milk Consider risk-benefit ratio}Adverse Effects: Adsorbents {Ans: Increased bleeding due to binding to