Drug Topics - November 19, 2007 - (Page 29)

29 a. Abdomen b. Arm c. Buttocks d. Thigh 6. Consumption of caffeinated coffee may: a. Decrease blood glucose b. Increase blood glucose c. Increase autonomic symptoms of hypoglycemia d. Decrease autonomic symptoms of hypoglycemia 7. Which of the following is a source of 15 to 20 gm a. They allow for flexibility in matching insulin to variations in diet. b. They are less expensive than conventional injections. c. They are seen as a cure for diabetes. d. They modify insulin dose to maintain euglycemia. 16. Which of the following is an advantage of the four- injection regimen in patients with Type 1 diabetes? a. This regimen decreases the need for frequent monitoring of blood glucose. b. This regimen has less risk of lipoatrophy. c. This regimen is less expensive compared with other insulin dosing regimens. d. This regimen most closely mimics the physiologic pattern of normal insulin secretion. 17. TS is a 57-year-old white male with Type 2 dia- of carbohydrates that can be used to treat an episode of hypoglycemia? a. Four to six candy bars b. Four to six hard candies c. Four to six oz of milk d. Four to six oz of soft drinks containing sugar 8. Which of the following decreases the risk of lipohy- pertrophy? a. Abstaining from alcohol consumption b. Ensuring there are no air bubbles in the syringe prior to injecting c. Rotating injection sites d. Using insulin analogs 9. Which of the following insulins could be classified betes who takes metformin 1000 mg PO BID, glyburide 10 mg PO BID, and insulin NPH 18 units SC QHS. He reports the following fasting blood sugars from the past two weeks: 199, 239, 217 145, , 219, 147 and 182. You recommend: , a. Increasing his dose of insulin NPH to 20 units SC QHS b. Increasing his dose of insulin NPH to 22 units SC QHS c. Increasing his dose of insulin NPH to 24 units SC QHS d. Increasing his dose of insulin NPH to 26 units SC QHS 18. LG was started on a regimen of three injections per as a maintenance insulin? a. Insulin aspart b. Insulin lispro c. Insulin glargine d. Insulin glulisine 10. Which of the following insulins has a cloudy ap- pearance? a. Insulin aspart b. Insulin glargine c. Insulin lispro d. Insulin NPH 11. Which of the following insulin preparations has an acidic pH that may result in more injection-site pain compared with other insulin preparations? a. Insulin aspart b. Insulin detemir c. Insulin lispro d. Insulin glargine 12. Which of the following insulins could be classified as a mealtime insulin? a. Insulin detemir b. Insulin glargine day, using 4 units of insulin aspart before breakfast, 5 units before lunch, and 8 units before dinner. He also takes 5 units of insulin NPH with his morning injection at 7:00 AM and 10 units of insulin NPH with the dinner injection at 6:00 PM. He was instructed to perform self-monitoring of blood glucose before each meal and before bedtime, and to report high or low values immediately to you at the clinic. He is calling you now to report the results of his blood glucose values for the past several days (in mg/dL): Date 7:00 AM Noon 6:00 PM 10:00 PM 5/3 226 138 62 94 5/4 197 122 71 84 5/5 240 165 68 101 5/6 219 140 70 92 LG does not report symptoms of hypoglycemia at 6:00 PM, but the values are dangerously low. Based on your understanding of insulin pharmacotherapy, which action is the best one to increase LG’s blood glucose values at 6:00 PM? a. Change injection site from the abdomen to the thigh. b. Decrease the evening insulin NPH dose by 2 units. c. Decrease the lunch insulin aspart dose by 2 units. d. Reduce the breakfast insulin aspart dose by 2 units. 19. You have now resolved the episodes of hypo- c. Insulin lispro d. Insulin NPH 13. Which of the following insulins has the most rapid onset of action? a. Insulin aspart b. Insulin glargine c. Insulin NPH d. Insulin regular 14. Which of the following statements concerning in- sulin replacement therapy is most accurate? a. Insulin therapy does not have to be monitored closely. b. Most commercial insulin products vary little with respect to time, course, and duration of hypoglycemic activity. c. Regular insulin can be administered intravenously. d. Regular insulin cannot be mixed with insulin NPH. 15. Which of the following is an advantage of insulin pumps? glycemia at 6:00 PM. Which action is the best one to

Table of Contents Feed for the Digital Edition of Drug Topics - November 19, 2007

Drug Topics - November 19, 2007 Contents Latebreakers Letters Leukemia Patients Now Have More Options First-in-Class HIV Drug Boon to Patients at End of Tether 150 Years of American Pharmacy Pharmacy Schools Confront New Pressures From Pariah to Patient ACCP Releases Position Paper on Ethical Interactions New Injectable Antibiotic Welcomed with Open Arms NCCN Updates Head and Neck Cancer Guide Improved Phosphate Binder Approved for Dialysis Patients Considering Combination Concern Ensuring Seamless Care Bill Would Create Center for Comparative Effectiveness Hospital Improves Patient Safety with Automatic Drug Distribution System Infection Rates, Patient Stays Drop with New Drug Device How R.Ph.s Helped Three Hospitals Win Quality and Safety Awards A Pharmacist and Dog in Tow are Alzheimer’s Patients’ Best Friends More PBMs Agreeing to Pricing Transparency New Insulins in the Management of Diabetes New Products Advertisers Index Classified VIEWPOINT: Reflections on Pharmacy School After 30 Years

Drug Topics - November 19, 2007

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