Oral Hypoglycemic Flashcards Preview

Nursing 2P16 > Oral Hypoglycemic > Flashcards

Flashcards in Oral Hypoglycemic Deck (14):
1

metformin trade name

glucophage

2

metformin drug class

antihyperglycemic, buguanide, antidiabetic

3

metformin expected effect

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

4

metformin dose

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

5

metformin route

PO

6

metformin adverse effects

lactic acidosis, thrombocytopenia, vertigo, vomit, diarrhea

7

metformin nursing implications

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

glyburide trade name

DiaBeta

9

glyburide drug class

antidiabetic, sulfonylureas

10

glyburide route admi

PO

11

glyburide expected effect

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

glyburide dose

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

13

glyburide adverse effects

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

14

glyburide nursing considerations

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