Exam (elaborations)
Week 9 BSN 315 Antidiabetic Therapy Questions With Complete Solutions
- Course
- Institution
Week 9 BSN 315 Antidiabetic Therapy Questions With Complete Solutions
[Show more]
Content preview
Week 9 BSN 315 Antidiabetic Therapy Questions WithComplete Solutions
.Question 3 of 3
A nurse is providing patient education about repaglinide, a drug
for type II diabetes that simulates the pancreatic beta cells.
Which statement is correct?
"Take this medication 1 hour after eating."
"Take this medication with or without food."
"Take this medication on an empty stomach."
"Take this medication 30 minutes or less before eating." Correct
Answer "Take this medication 30 minutes or less before
eating."
Repaglinide is short acting and must be taken with a meal, 30
minutes or less before eating.
***Drugs that increase blood glucose levels and may require
increased dosing of metformin include:
Corticosteroids (cortisone)
Thiazide diuretics
Estrogen Correct Answer
**Drugs that increase the hypoglycemic effect of metformin and
may require a decrease in the dose of metformin:
Furosemide
Digoxin
Morphine
Vancomycin
Aspirin
Alcohol
Sulfonamides
,Oral contraceptives
Monoamine oxidase inhibitors (MAOIs) Correct Answer
*Hold metformin for 36 hours before procedure with IV contrast
drug, during procedure, and up to 72 hours after procedure; this
reduces the risk for renal failure and lactic acidosis.) Correct
Answer
Antidiabetic Therapy
Insulin is the drug of choice for type I DM. It acts to move
glucose from the blood into cells where it is used for energy or
stored in the liver for later use. Insulin used as drug therapy
works the same way that insulin produced by the body does.
Insulin used in drug therapy can only be given parenterally.
Insulin can be used with type 2 DM during emergencies and
times of physiologic stress, such with severe infection,
ketoacidosis, severe burns, or after major surgery or Correct
Answer
Case Study
Mrs. Cates is a 39-year-old patient who was hospitalized with
diabetic ketoacidosis. She had previously been treated for
idiopathic pancreatitis and has now developed type 1 diabetes
mellitus. Daniel is a registered nurse who is caring for Mrs.
Cates on the medical-surgical unit and completing her diabetic
teaching. Mrs. Cates is to be discharged with a prescription for
fingerstick blood glucose monitoring every 4 hours, with a
correction dosage (sliding scale) of insulin lispro and a Correct
Answer
,Case Study
Mrs. Gabriel is a 68-year-old woman who has been newly
diagnosed with rheumatoid arthritis (RA) by her health care
provider. She is being referred to a local rheumatologist for
disease-modifying therapy. Until she can get in with the
rheumatologist, the health care provider initiates prednisone 20
mg daily to help minimize her pain and inflammation. In
addition to RA, Mrs. Gabriel has type 2 diabetes, dyslipidemia,
and hypertension, which she manages with metformin 500 mg
PO twice dai Correct Answer
Certain drugs cause hypoglycemia when taken with insulin.
These include:
alcohol
aspirin
oral anticoagulants
non-insulin antidiabetic drugs
beta blockers
tricyclic antidepressants, monoamine oxidase inhibitors
(MAOIs)
tetracycline Correct Answer
Certain drugs counter the effects of insulin, causing
hyperglycemia. These include:
thiazide diuretics
sympathomimetics
glucocorticoids
thyroid drugs
contraceptives
nicotine (smoking)
, **When these drugs are used, insulin requirement will likely be
increased.
Certain herbal supplements cause hypoglycemia when taken
with insulin. These include:
ginger
garlic
ginseng Correct Answer
Contraindications and Cautions with Metformin
Although metformin is the drug of choice for type II diabetes,
there are certain situations in which metformin is
contraindicated or used cautiously.
*Absolute Contraindications:
Do not use (absolute contraindication) in persons with:
-Drug hypersensitivity
-Diabetic ketoacidosis
-Renal disease or failure or abnormal creatinine clearance from
any cause (glomerular filtration rate [GFR] 30 to 45/1.73 m2 =
do not use; GFR >45 mg/min/1.73 m2 = assess ri Correct
Answer
Corticosteroid Therapy:
-Prednisone is the most commonly prescribed oral
corticosteroid, and methylprednisolone is the most common
injectable corticosteroid.
-Inhaled corticosteroids are used in the management of
respiratory diseases such as asthma.
-Intranasal corticosteroids are useful in managing allergic
rhinitis.
-Topical corticosteroids are often used to treat skin, eye, and ear
inflammatory conditions. Correct Answer
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Classroom. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $14.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
76799 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now