Anesthesia Pharmacology Chapter 29: Diabetes Management Practice Questions

Concerning insulin delivery:
1. Jet injector systems allow subcutaneous administration without a needle.
2. Typically insulin is injected subcutaneously
3. Both
4. Neither
Circumstance/circumstances in which insulin administration by IV infusion may be helpful:
1. Management of ketoacidosis
2. When insulin requirements undergo rapid change (e.g. in the postoperative or intensive care setting)
3. Both
4. Neither
Long-acting insulin preparations are most appropriately administered by the intravenous or intramuscular route of administration.
1. True
2. False
Form of insulin suitable for use in subcutaneous insulin infusion systems:
1. Short-acting insulin
2. Intermediate-acting insulin
3. Long-acting insulin
Pump-based insulin infusion systems:
1. These systems provide a more physiologically "normal" insulin response during exercise.
2. Pump-based insulin infusion systems in the exercise setting result in reduced hypoglycemic reactions, when compared to typical subcutaneous insulin injection.
3. Both
4. Neither
Most patients utilize both a long-acting insulin preparation (for maintaining the basal state) along with a short-acting insulin form used following meals.
1. True
2. False
This/these patient groups may require more insulin due to peripheral tissue insulin resistance.
1. Pubertal adolescents
2. Obese patients
3. Both
4. Neither
Insulin delivered as a single daily dose, using a long-acting insulin is usually effective in achieving a euglycemic (normal) blood glucose level.
1. True
2. False
Appropriate insulin preparation(s) for patients exhibiting a loss of appetite or have gastroparesis:
1. Short-acting insulin analog following meals
2. Long-acting insulin given early in the day
The most notable, major risk that must be considered relative to the benefits of normalizing glucose control is:
1. Hypoglycemia
2. Hyperglycemia