Biguanides - Study guides, Class notes & Summaries
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NRNP 6560 MIDTERM EXAM WITH VERIFIED QUESTIONS AND ANSWERS
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NRNP 6560 MIDTERM EXAM WITH VERIFIED QUESTIONS AND ANSWERS 
 
High risk surgeries - aortic/ cabg 
transplants 
spinal reconstruction 
peripheral vascular surgery 
Lee's revised cardiac risk index - 6 points: 
High risk surgery = 1 
CAD = 1 
CHF = 1 
Cerebrovascular disease = 1 
DM 1 on insulin = 1 
Creat greater than 2 = 1 
1 = low risk 
2 = moderate risk 
3 = high risk 
SCIP pre-operative infection measures - - Prophylactic antibiotics should be 
received within 1 h prior to surgical incision...
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PC707-Module 10 Exam Study Guide with Complete Solutions
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PC707-Module 10 Exam Study Guide with Complete Solutions 
 
 
PC707-Module 10 Exam Study Guide with Complete Solutions 
 
 
PC707-Module 10 Exam Study Guide with Complete Solutions 
 
 
Diabetes Medication - Sulfonylureas - ANSWER--Action = Stimulates pancreatic insulin release. 
-Adverse effects = Hypoglycemia, Weight gain, Increased risk of CV mortality. 
-Contraindications = Impaired renal function. 
*Are not contraindicated in pts. with sulfa allergy due to different molecular structure (L...
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NRNP 6560 Certification Exam Questions and CORRECT Answers
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Surgery risk classesClass 1: benefits outweigh risk, should be done 
Class 2a: reasonable to perform 
Class 2b: should be considered 
Class 3: rarely appropriate 
General rules for surgery: testingECG before surgery only if coronary disease, except 
when low risk surgery 
Stress test not indicated before surgery 
Do not do prophylactic coronary revascularization 
Meds before surgery- Diabetic agents: Use insulin therapy to maintain glycemic 
goals(iii) Discontinue biguanides, alpha glucosidase...
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NRNP 6560 TOP Exam Questions and CORRECT Answers
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Surgery risk classesClass 1: benefits outweigh risk, should be done 
Class 2a: reasonable to perform 
Class 2b: should be considered 
Class 3: rarely appropriate 
General rules for surgery: testingECG before surgery only if coronary disease, except 
when low risk surgery 
Stress test not indicated before surgery 
Do not do prophylactic coronary revascularization 
Meds before surgery- Diabetic agents: Use insulin therapy to maintain glycemic 
goals(iii) Discontinue biguanides, alpha glucosidase...
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NRNP 6560 MIDTERM EXAM 2023 COMPLETE QUESTIONS AND ANSWERS ALREADY PASSED
- Exam (elaborations) • 88 pages • 2023
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Surgery risk classes - CORRECT ANS Class 1: benefits outweigh risk, should 
be done 
Class 2a: reasonable to perform 
Class 2b: should be considered 
Class 3: rarely appropriate 
General rules for surgery: testing - CORRECT ANS ECG before surgery only if 
coronary disease, except when low risk surgery 
Stress test not indicated before surgery 
Do not do prophylactic coronary revascularization 
Meds before surgery - CORRECT ANS - Diabetic agents: Use insulin therapy to 
maintain glycemic goals...
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PC 707 Module 8 Spring Exam with 100% Verified and Updated Solutions
- Exam (elaborations) • 9 pages • 2024
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PC 707 Module 8 Spring Exam 
with 100% Verified and Updated Solutions 
What is the first line oral diabetic medicaiton? - answerBiguanides (Metformin) 
What is the MOA of Biguanides? - answerIncreases insulin action by suppressing glucose 
output from the liver, enhancing receptor sensitivity to insulin in muscle and fat, reduces 
glucose absorption in the gut 
What are the potential side effects of Biguanides? - answerMetallic taste in mouth, mild 
anorexia, nausea, abd discomfort, diarrhea 
Wh...
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CDE Exam Prep – Medications Correct 100%
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Sulfonylureas - ANSWER Lower bg by causing the pancreas to release more insulin A1c decrease with monotherapy: 1-2% 
 
Biguanides - ANSWER Reduce how much glucose the liver produces; increase peripheral insulin sensitivity. A1c decrease with monotherapy: 1-2% 
 
Thiazolidinediones - ANSWER Improve the way insulin works in the body by allowing more glucose to enter muscles, fat, and the liver; about 12-16 weeks for maximum effect. A1c decrease with monotherapy: 0.5-1.4% 
 
Alpha-glucosidase inhib...
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PC 707 Module 8 Spring Exam with 100% Verified and Updated Solutions
- Exam (elaborations) • 9 pages • 2024
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PC 707 Module 8 Spring Exam 
with 100% Verified and Updated Solutions 
What is the first line oral diabetic medicaiton? - answerBiguanides (Metformin) 
What is the MOA of Biguanides? - answerIncreases insulin action by suppressing glucose 
output from the liver, enhancing receptor sensitivity to insulin in muscle and fat, reduces 
glucose absorption in the gut 
What are the potential side effects of Biguanides? - answerMetallic taste in mouth, mild 
anorexia, nausea, abd discomfort, diarrhea 
Wh...
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NRNP 6560 Midterm exam 2023/2024 already passed
- Exam (elaborations) • 67 pages • 2024
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NRNP 6560 Midterm examSurgery risk classes - correct answer Class 1: benefits outweigh risk, should be done 
Class 2a: reasonable to perform 
Class 2b: should be considered 
Class 3: rarely appropriate 
 
General rules for surgery: testing - correct answer ECG before surgery only if coronary disease, except when low risk surgery 
Stress test not indicated before surgery 
Do not do prophylactic coronary revascularization 
 
Meds before surgery - correct answer - Diabetic agents: Use insulin thera...
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PC 707 Module 10 Spring 2024 with 100% Verified and Updated Solutions
- Exam (elaborations) • 8 pages • 2024
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PC 707 Module 10 Spring 2024 with 100% 
Verified and Updated Solutions 
What is the first line oral diabetic medicaiton? - Answer ️️ -Biguanides (Metformin) 
What is the MOA of Biguanides? - Answer ️️ -Increases insulin action by suppressing glucose 
output from the liver, enhancing receptor sensitivity to insulin in muscle and fat, reduces glucose 
absorption in the gut 
What are the potential side effects of Biguanides? - Answer ️️ -Metallic taste in mouth, mild 
anorexia, nausea, ...
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