Session 4: Monitor/Do

Question 1

1. Monitor glucose; hemoglobin A1C
2. Monitor hypo/hyperglycemia

Answer 1

Anti diabetic Medications

Question 2

1. Monitor K+ levels
2. Plan insulin administration around meals knowing onset, peak, and duration
3. High-risk drug: follow policy with second nurse check

Answer 2

Insulins

Question 3

1. Monitor for lactic acidosis
2. Hold if receiving IV iodinated contrast dye (48 hours before and after)
3. Assess for hepatic/ renal disease or metabolic acidosis (contraindicated)

Answer 3

Biguanides

Question 4

1. Monitor glucose levels
2. Monitor for hypersensitivity reactions

Answer 4

Dipeptidyl peptides - 4 enzyme inhibitors

Question 5

1. Monitor TSH, T3, T4, & cardiac rhythm
2. Monitor for hyperthyroidism
3. Monitor/assess for adrenal insufficiency
4. Hold if cardiac sxs develop/worsen. Hold x 1week if this occurs & then start back with lower dose.

Answer 5

Thyroid hormone replacement