PTCE Handout 7: Diabetes

Pharmacy Technician Program

2011-12

Which is the best size needle and syringe for a very thin, 20 yr. old patient injecting 23 units of insulin daily?

a. 25 g, 1cc syringe, 3/8” needle

b. 25 g, 3/10cc syringe whole unit markings, 3/8” needle

c. 30 g ½ cc syringe, 3/8” needle

d. 30 g, 3/10cc syringe, ½ unit markings, 3/8” needle

b

Glucagon is used

a. When a patient has high blood sugar

b. As a substitute for sugar in diet

c. When a patient has low blood sugar

d. Daily with insulin to prevent hypoglycemia

When a patient has low blood sugar

Type 1 diabetics would not use which medication?

a. Lantus

b. Glucagon

c. Glucotrol

d. Lispro

Glucotrol (it is an oral diabetes med).

Which insulin is cloudy?

a. Humulin R

b. Humulin N

c. Lantus

d. All of the above

Humulin N

Which is true regarding insulin and refrigeration?

a. Insulin should never be refrigerated.b. It should never be left outside of the

refrigerator.c. It is good for approx. 28 days outside of

refrigerator.d. It burns more when injected at room temp.

Is good for approx. 28 days at room temp.

Which statement is true regarding Type 2 diabetics?

a. Usually diagnosed during pregnancy.

b. Only use insulin.

c. Can use both insulin and oral meds.

d. All of the above.

Can use both insulin and oral meds.

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

False

Which insulin comes in an inhalation dosage form?

a. Exubera

b. Lantus

c. Humalog

d. Humulin 70/30 mix

Exubera

Which insulin can be given IV?

a. Humulin R

b. Humulin N

c. Lantus

d. Humalog mix 75/25

Humulin R

Which drug is used to treat diabetes?

a. Metformin

b. Synthroid

c. Coreg

d. Ritalin

Metformin

Which class of drugs is used to treat diabetes?

a. Sulfonylureas

b. Ace inhibitors

c. Aminoglycosides

d. Tetracyclines

Sulfonylureas

Glyburide is used to treat:

a. Hyperlipidemia

b. Bipolar disorder

c. Depression

d. Diabetes mellitus

Diabetes mellitus

Insulin is used to treat which:

a. Hyperglycemia

b. Hypoglycemia

c. Hyperlipidemia

d. Hypercalcemia

Hyperglycemia

Where is insulin stored in the pharmacy?

a. Freezer

b. Refrigerator

c. On a shelf at room temperature

d. None of the above

Refrigerator

What is the proper temp for insulin storage?

a. 10-20 degrees F

b. 53-63 degrees F

c. 45-55 degrees F

d. 36-46 degrees F

36-46 degrees F

Hypoglycemia is defined as:

a. Elevated cholesterol

b. Low blood sugar

c. High blood sugar

d. Low calcium

Low blood sugar

Which type of diabetes is usually diagnosed in childhood?

a. Type 2

b. Type 1

c. Gestational

d. Type 4

Type 1

Which type of diabetes is known as insulin dependent diabetes mellitus?

a. Type 4

b. Type 1

c. Type A

d. Type 2

Type 1

How many units are in a standard bottle of Regular U-100 insulin?

a. 10

b. 50

c. 100

d. 1000

1000

Humulin N is injected by which route of administration?

a. IV

b. IM

c. SC

d. IV Push

SC

Which type of injection offers the quickest onset of action?

a. IM

b. SC

c. IV

d. ID

IV

An HbA1C test will show glucose control over what period of time?

a. 3 months

b. 10 days

c. 1 month

d. 1 week

3 months

How long can insulin be left at room temp before it must be discarded?

a. Approximately 1 month

b. Approximately 2 months

c. Approximately 3 months

d. Until the insulin reaches the expiration date listed on the bottle

Approximately 1 month

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.