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Chapter 40: Drugs for Pancreatic Disorders

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1 Chapter 40: Drugs for Pancreatic Disorders
DISCUSSION POINTS Chapter 40: Drugs for Pancreatic Disorders Pharmacology for Nurses: A Pathophysiologic Approach, 1/e Michael Patrick Adams Dianne L. Josephson Leland Norman Holland, Jr. Copyright ©2005 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights reserved.

2 Pancreas - Endocrine functions
- Disorders (diabetes mellitus type 1 and 2 and pancreatitis acute and chronic) Pharmacology for Nurses: A Pathophysiologic Approach, 1/e Michael Patrick Adams Dianne L. Josephson Leland Norman Holland, Jr. Copyright ©2005 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights reserved.

3 Type 1 and Type 2 diabetes mellitus - How are they similar?
- How are they different? - Treatment Pharmacology for Nurses: A Pathophysiologic Approach, 1/e Michael Patrick Adams Dianne L. Josephson Leland Norman Holland, Jr. Copyright ©2005 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights reserved.

4 - Signs and symptoms of insulin overdose and underdose
- Types - Signs and symptoms of insulin overdose and underdose Pharmacology for Nurses: A Pathophysiologic Approach, 1/e Michael Patrick Adams Dianne L. Josephson Leland Norman Holland, Jr. Copyright ©2005 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights reserved.

5 - Signs and symptoms of acute and chronic - Treatment
Pancreatitis - Acute vs. chronic - Signs and symptoms of acute and chronic - Treatment Pharmacology for Nurses: A Pathophysiologic Approach, 1/e Michael Patrick Adams Dianne L. Josephson Leland Norman Holland, Jr. Copyright ©2005 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights reserved.

6 A client with Type 1 diabetes who wants to know why insulin has to be given by injection instead of taking it by mouth Pharmacology for Nurses: A Pathophysiologic Approach, 1/e Michael Patrick Adams Dianne L. Josephson Leland Norman Holland, Jr. Copyright ©2005 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights reserved.

7 The rationale for why the amount of insulin given needs to be individualized
Pharmacology for Nurses: A Pathophysiologic Approach, 1/e Michael Patrick Adams Dianne L. Josephson Leland Norman Holland, Jr. Copyright ©2005 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights reserved.

8 The amount of insulin may vary in the same individual
Pharmacology for Nurses: A Pathophysiologic Approach, 1/e Michael Patrick Adams Dianne L. Josephson Leland Norman Holland, Jr. Copyright ©2005 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights reserved.

9 Pathophysiology for the 4 cardinal symptoms of DM (polyuria, polydipsia, polyphagia, weight loss)
Pharmacology for Nurses: A Pathophysiologic Approach, 1/e Michael Patrick Adams Dianne L. Josephson Leland Norman Holland, Jr. Copyright ©2005 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights reserved.

10 Dawn phenomenon vs. Somogyi effect
Pharmacology for Nurses: A Pathophysiologic Approach, 1/e Michael Patrick Adams Dianne L. Josephson Leland Norman Holland, Jr. Copyright ©2005 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights reserved.

11 Sliding scale insulin coverage
Pharmacology for Nurses: A Pathophysiologic Approach, 1/e Michael Patrick Adams Dianne L. Josephson Leland Norman Holland, Jr. Copyright ©2005 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights reserved.


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