Term
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Definition
| *Always requires basal insulin, despite poor intake or NPO status, to prevent ketoacidosis |
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Term
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Definition
| *May or may not nor require insulin when they are NPO, depending on their residual insulin secretion and insulin resistance. |
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Term
| What is the bodies normal insulin production? |
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Definition
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Term
| What is the total daily exogenous dose of insulin for treatment of diabetes mellitus? |
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Definition
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Term
| What is the goal of any regimen for a patient with DM? |
|
Definition
| *To minimize metabolic derangements and, most obviously, to avoid hypoglycemia |
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Term
| What is the normal management of a patient who is IDDM in regard to the use of insulin the day of surgery? |
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Definition
| *Half the usual NPH dose will suffice to maintain the patient throughout the day. |
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Term
| How much will one unit of regular insulin lower the plasma glucose? |
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Definition
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Term
| What drugs are sulfonureas and what do they do? |
|
Definition
*Glyburide, glipizide, glimepiride
*Increases endogenous insulin secretion
*must have viable beta cells
*Don't take AM of surgery |
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Term
|
Definition
*Glucophage
*Decreases hepatic glucose production, decreases glucose absorption, Increases glucose uptake into skeletal muscle |
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Term
| Is basal insulin such as Glargine (lantus) skipped the day of surgery? |
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Definition
| *No given whether NPO or not. |
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Term
| How should NPH be managed the day before and morning of surgery? |
|
Definition
*Full dose of NPH the nigth before
*Half dose the morning of sugery |
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Term
| What is the management of Glargine before surgery? |
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Definition
| *Full dose is given regardless of AM or PM dosing or NPO status. |
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Term
| What is a correction dose of insulin intended for? |
|
Definition
| *Intended to correct hypoglycemia that is not adequately treated with current regime |
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Term
| What type of insulin is preferred for mealtime supplementation? |
|
Definition
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