Meds Special edition

Question 1

Sulfonylureas

Answer 1

• amide
• zide
• ride

Stimulate the beta cells to produce more insulin.

Common side effects- Hypoglycemia, GI disturbance, Dermatologic reactions, and disulfiram reactions with alcohol ingestion.

Question 2

Biganide

Answer 2

metformin

Wont cause hypoglycemia
Don’t give to renal patient.
Avoid alcohol
Withheld for contrast media or no oral intake before and 48 hours after.

Can cause lactic acidosis (Chills, diarrhea, dizziness, decreased blood pressure, muscle pain, sleepiness, bradycardia, dyspnea, weakness)

Question 3

alpha glucosidase inhibitors

Answer 3

acarbose
miglitol

Main side effect-gas forming

Question 4

Vasopressors

Answer 4

phenylephrine
vasopressin

Vasoconstrictor- Side effects drowsiness, listlessness, convulsion, coma, Report chest pain (possible MI)

Give at night with 2 glasses of water to prevent nausea, skin blanching, and cramps.

Question 5

Thyroid preparations- Replacement

Answer 5

levothyroxine
liothyronine
liotrix
thyroid

Assess apical pulse, and report chest pain
S/E- Hyperthyroidism,
full effects takes weeks
Give with full glass of H20 30-60 minutes before breakfast
Therapy is life long