PTCE Handout 7: Diabetes

1. PTCE Handout 7: Diabetes Pharmacy Technician Program 2011-12

2. Which is the best size needle and syringe for a very thin, 20 yr. old patient injecting 23 units of insulin daily? • 25 g, 1cc syringe, 3/8” needle • 25 g, 3/10cc syringe whole unit markings, 3/8” needle • 30 g ½ cc syringe, 3/8” needle • 30 g, 3/10cc syringe, ½ unit markings, 3/8” needle b

3. Glucagon is used • When a patient has high blood sugar • As a substitute for sugar in diet • When a patient has low blood sugar • Daily with insulin to prevent hypoglycemia When a patient has low blood sugar

4. Type 1 diabetics would not use which medication? • Lantus • Glucagon • Glucotrol • Lispro Glucotrol (it is an oral diabetes med).

5. Which insulin is cloudy? • Humulin R • Humulin N • Lantus • All of the above Humulin N

6. Which is true regarding insulin and refrigeration? • Insulin should never be refrigerated. • It should never be left outside of the refrigerator. • It is good for approx. 28 days outside of refrigerator. • It burns more when injected at room temp. Is good for approx. 28 days at room temp.

7. Which statement is true regarding Type 2 diabetics? • Usually diagnosed during pregnancy. • Only use insulin. • Can use both insulin and oral meds. • All of the above. Can use both insulin and oral meds.

8. True or False: Type 1 diabetics can increase their pancreatic output of insulin by changing their diet and exercise. • False

9. Which insulin comes in an inhalation dosage form? • Exubera • Lantus • Humalog • Humulin 70/30 mix Exubera

10. Which insulin can be given IV? • Humulin R • Humulin N • Lantus • Humalog mix 75/25 Humulin R

11. Which drug is used to treat diabetes? • Metformin • Synthroid • Coreg • Ritalin Metformin

12. Which class of drugs is used to treat diabetes? • Sulfonylureas • Ace inhibitors • Aminoglycosides • Tetracyclines Sulfonylureas

13. Glyburide is used to treat: • Hyperlipidemia • Bipolar disorder • Depression • Diabetes mellitus Diabetes mellitus

14. Insulin is used to treat which: • Hyperglycemia • Hypoglycemia • Hyperlipidemia • Hypercalcemia Hyperglycemia

15. Where is insulin stored in the pharmacy? • Freezer • Refrigerator • On a shelf at room temperature • None of the above Refrigerator

16. What is the proper temp for insulin storage? • 10-20 degrees F • 53-63 degrees F • 45-55 degrees F • 36-46 degrees F 36-46 degrees F

17. Hypoglycemia is defined as: • Elevated cholesterol • Low blood sugar • High blood sugar • Low calcium Low blood sugar

18. Which type of diabetes is usually diagnosed in childhood? • Type 2 • Type 1 • Gestational • Type 4 Type 1

19. Which type of diabetes is known as insulin dependent diabetes mellitus? • Type 4 • Type 1 • Type A • Type 2 Type 1

20. How many units are in a standard bottle of Regular U-100 insulin? • 10 • 50 • 100 • 1000 1000

21. Humulin N is injected by which route of administration? • IV • IM • SC • IV Push SC

22. Which type of injection offers the quickest onset of action? • IM • SC • IV • ID IV

23. An HbA1C test will show glucose control over what period of time? • 3 months • 10 days • 1 month • 1 week 3 months

24. How long can insulin be left at room temp before it must be discarded? • Approximately 1 month • Approximately 2 months • Approximately 3 months • Until the insulin reaches the expiration date listed on the bottle Approximately 1 month

25. True or False: • Insulin injections should be given at the same injection site to maintain a constant level of absorption. • False; the sites should be rotated.