Oral Hypoglycemic Flashcards Preview

Nursing 2P16 > Oral Hypoglycemic > Flashcards

Flashcards in Oral Hypoglycemic Deck (14)
Loading flashcards...
1
Q

metformin trade name

A

glucophage

2
Q

metformin drug class

A

antihyperglycemic, buguanide, antidiabetic

3
Q

metformin expected effect

A

inhibit hepatic glucose production & ^ sensitivity in peripheral tissue to insulin

4
Q

metformin dose

A

500mg PO BID then 500mg weekly up to 2000mg daily

5
Q

metformin route

A

PO

6
Q

metformin adverse effects

A

lactic acidosis, thrombocytopenia, vertigo, vomit, diarrhea

7
Q

metformin nursing implications

A

do not give with radiologic contrast media > renal failure
no dofetilide > lactic acidosis
limit alcohol bc ^ lactic acidosis and low blood sugar
metformin can pass in breast milk
take with food to lower side effects

8
Q

glyburide trade name

A

DiaBeta

9
Q

glyburide drug class

A

antidiabetic, sulfonylureas

10
Q

glyburide route admi

A

PO

11
Q

glyburide expected effect

A

cause beta cells of pancreas to release insulin leading to drop in blood glucose; may improve insulin binding to insulin receptors & increase number insulin receptors

12
Q

glyburide dose

A

1.25-5mg single dose then increase at weekly intervals up to 20mg day

13
Q

glyburide adverse effects

A

typical side effects, rash skin pruritus eczema, hypoglycaemia, hepatoxicity, jaundice, hepatic failure, penias

14
Q

glyburide nursing considerations

A

hypo/hyper runs after meals
check blood sugar, CBC
evauluate: lower sugar, decrease polyuria, polydipsia
teach: symptoms jaundice, blood glucose testing, take in morning to prevent hypo at night, photosensitivity, diabetes lifelong, food diet plan and emergency sugar packets, report bleeding brushing weight gain edema