Oral Hypoglycemics

Question 1

Glimepiride

Answer 1

Sulfonylureas Oral Hypoglycemics

Question 2

Glipizide

Answer 2

Sulfonylureas Oral Hypoglycemics

Question 3

Glyburide

Answer 3

Sulfonylureas Oral Hypoglycemics

Question 4

Metformin

Answer 4

Biguanides Oral Hypoglycemics

• can cause lactic acidosis
• avoid alcohol

Question 5

Acarbose

Answer 5

Alpha glucosidase inhibitor Oral Hypoglycemics

Question 6

Miglitol

Answer 6

Alpha glucosidase inhibitor Oral Hypoglycemics

Question 7

Alpha glucosidases must…

Answer 7

be taken immediately before a meal

can be taken alone or with other agents

Question 8

Rosiglitazone

Answer 8

thiazolidinediones Oral Hypoglycemics

Question 9

Pioglitazone

Answer 9

thiazolidinediones Oral Hypoglycemics

Question 10

Repaglinide

Answer 10

Meglitinides Oral Hypoglycemics

Question 11

Sitagliptin

Answer 11

Gliptins Oral Hypoglycemics

Question 12

Exanatide

Answer 12

Incretin mimetics Oral Hypoglycemics

Question 13

Indications for oral hypoglycemics

Answer 13

type 2 diabetes

Question 14

Nursing considerations for oral hypoglycemics

Answer 14

• monitor serum glucose levels
• avoid alcohol
• teaching for dz: dietary control, symptoms of hypo and hyperglycemia

Question 15

Glucagon

Answer 15

• given SQ or IM
• onset 8-10 min with duration of 12-27 min
• should be part of emergency supplies for diabetics
• may repeat in 15 min if needed

Question 16

indication of glucagon

Answer 16

acute management of hypoglycemia

Question 17

side effects of glucagon

Answer 17

• hypotension
• bronchospasm
• dizziness

Question 18

nursing considerations for glucagon

Answer 18

may repeat in 15 min if needed

• IV glucose must be given if client fails to respond
• arouse clients from coma as quickly as possible and give carbs orally to prevent secondary hypoglycema rxns