Session 4: Teach Patients

Question 1

1. Teach to:
   
   • take with full glass of water
   • on an empty stomach
   • same time each day
   • 1/2-1 hour before breakfast
   • 4 hours before any other medications known to interfere with absorption (ie. antacids, calcium)
2. Teach s/s of hyperthyroidism

Answer 1

Thyroid Hormone Replacement

Question 2

1. Teach to take 1x/daily with or without food
2. Teach s/s of hypersensitivity; if occur, stop taking and report to provider

Answer 2

DPP IV inhibitors

Question 3

Malaise, myalgia, respiratory distress, increasing somnolence, and non-specific abdominal distress

Answer 3

Lactic acidosis

Question 4

1. Teach about lactic acidosis
2. Teach to take with meals in divided doses

Answer 4

Biguanides

Question 5

1. Teach proper timing of doses
   
   • same time each day; 30 minutes before a meal
   • carb. Counting
   • glucose monitoring
2. Teach that mixing with alcohol may cause disulfiram-like reaction

Answer 5

2nd generation Sulfonylureas

Question 6

Nausea, flushing, dizziness, H/A, chest discomfort (hangover-like sxs)

Answer 6

Disulfiram-like reaction

Question 7

1. Teach rotation of injection sites
2. Teach about emergency glucagon

Answer 7

Insulins

Question 8

1. Teach how to monitor blood glucose levels
2. Teach carb counting
3. Teach hypoglycemia and hyperglycemia

Answer 8

Anti diabetic medications