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Oral Hypoglyemic

QuestionAnswer
metformin - SE gi disturbances, rare - lactic acidosis
metformin - NC admin in morning, discontinue 1-2 days before IV contrast
glipizide and glyburide- SE hypoglycemia, weight gain
glipizide and glyburide - NC assess for allergies to sulfa antibiotics, (glip)must be taken on empty stomach
repaglinide and nateglinide - SE hypoglycemia, weight gain
repaglinide and nateglinide - NC before meals, hold if meal is skipped, DONT give with gemfibrozil
pioglitazone and rosiflitazone - SE hypoglycemia with sulfonylurea, muscle weakness/pain, sore throat, UTI
pioglitazone and rosiflitazone - NC DONT give with gemifibrozil, decrease effects of oral contraceptives, CANT give during pregnancy
acarbose - SE flatulence, cramps, abdominal distension, diarrhea
acarbose - NC DONT use with pt with GI problems, need to use glucose tablets to correct hypoglycemia
depagliflozin, canaglitflozin, empagliflozin - SE hypotension, yeast infection, UTI, polyuria, weight loss, kidney damage
depagliflozin, canaglitflozin, empagliflozin - NC can help decrease weight, once a day dose
pramlintide - SE (non-insulin injectable) GI disturbances, can delay absorption of other drugs
pramlintide - NC (non-insulin injectable) give at mealtimes with insulin, DONT mix in the same syringe
exenatide - SE (non-insulin injectable) hypoglycemia if taken with sulonylurea, GI disturbances
exenatide - NC (non-insulin injectable) give 1 hour before meals, used with metformin or sulfonylurea, once weekly injections
liraglutide - SE (non-insulin injectable) GI disturbances, icnreased risk for pancreatitis, pancreatic cancer, and renal failure
glucagon and hydrochloride - SE hyperglyceia, BP changes, tachycardia, GI disturbances (place them on side)
glucagon and hydrochloride - NC monitor for hyperglycemia, educate on how to admin
short duration - rapid - meds lispro, aspart, and gluisine
short duration - rapid - action must go with long or int. insulin, controls after meal rise in BG
short duration - rapid - times onset - 10min-30min peak - 30min-3hr duration - 3hr-6hr
short duration - rapid - NC give WITH meals, clear, SQ or IV, can be used on sliding scale
short duration - slower - meds humulin R novolin R
short duration - slower - action controls after meal rise in BG
short duration - slower - times onset - 30min-1hr peak - 1hr-5hr duration - 6hr-10hr
short duration - slower - NC give BEFORE meals, clear, SQ or IV
Intermediate - med NPH
Intermediate - action controls BG between meals and at night
Intermediate - times onset - 1hr-2hr peak - 6hr-14hr duration - 16hr-24hr
Intermediate - NC cloudy, can be mixed with short acting, SQ, roll before you give, BID
long - med determir and glargine
long - action gives basal control
long - times onset - 1hr-2hr peak - none duration - 12hr-24hr
long - NC determir once/twice daily SQ, can NOT be mixed with other insulin, clear, (glargine) once SQ (usually HS)
Created by: user-2017623
 

 



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