1. How will you prescribe lipase, protease, and amylase components?: Answer Patients with cystic fibrosis are often prescribed enzyme replacement for pancreatic secretions each replacement drug has amylase, lipase and protease components, however the drug is prescribed in units of lipase 2. What is the medication of choice for hypertensive crisis with pheochromocytoma?: Answer Surgical resection of the tumor is the first treatment of choice either my open laparotomy or laparoscopy either surgical option requires prior treatment of nonspecific irreversible adrenergic adraonoreceptor blocker phenoxybenzamine or a shorter acting alpha antagonists, prazosin, terazosin, and doxazosin. Mainly use phenozibenamine in practice. Doing so promotes the surgery to proceed while minimizing the likelihood of severe intraoperative hypertension which is likely when the tumor is manipulated. 3. What is the onset of action, peak of action, and duration of action of each insulin preparation?: Answer (Intermediate Acting) NPH Onset-60-90 min after administration, Peak 48 hrs Duration 10-18 hrs. (Short Acting) Regular Onset 30-60 min Peak 2-4 hrs Duration 6-10 hrs (Long Acting) Aspart, Lispro, Glulisine Onset less than 15 min Peak 1-2 hrs Duration 3-6 hrs (Long Acting) Glargine, Detemir Onset 1-2 hrs Peak NO PEAK Duration 24 hrs 4. Identify the symptoms of hypoglycemia, hyperglycemia, and ketoacidosis.- Answer Hypoglycemia- dizziness, confusion, diaphoresis, tachycardia Hyperglycemia- polyphagia, polydipsia, polyuria, blurred vision, and fatigue Ketoacidosis- hallmark symptomsinclude acetone breath like nail polish remover or fruity