antidiabetic
This drug can mask symptoms of hypoglycemia
Beta blockers
This drug is contraindicated in clients with kidney impairment or alcohol disuse disorder and may cause metallic taste
Metformin
an action to take to avoid lipohypertrophy
Rotate injection sites
Adverse effects of levothyroxine
heat intolerance, Tachycardia, palpitation, chest pain, increased BP, anxiety, nervousness, tremors, insomnia, weight loss, long term use: osteoporosis
Monitor TSH and T4 levels periodically for this drug
Levothyroxine
Adverse effects of insulin
Hypoglycemia
hypokalemia
lipohyperthrophy
This is the amount of time you need to know before giving oral antidiabetic before meals (answer is in minutes)
30 minutes
advise client to take levothyroxine in the ____
take daily in the morning in empty stomach
Type of food that decreases absorption of levothyroxine
food contains iodine (e.g shellfish)
Caution in clients with hypertension for this hormone replacement therapy
Levothyroxine
Types of Insulin (list 4 and examples)
Rapid-acting: lispro, aspart
short-acting: regular insulin
intermediate acting: NPH
Long-acting: glargine, determir
Manifestations of hypoglycemia
Early: confusion, irritability , tremors, sweating
late: seizure, coma, hypothermia, death if not treated
The only insulin that can be administered thru an iv
Regular insulin
adverse effects of this drug are Hypothyroidism, agranulocytosis, liver and bone marrow toxicity
Antithyroid drugs
Two ways to manage sliding scale insulin
AC and HS
Every 6 hr
Treatments for type 1 DM
Treatments for type 2 DM
Type 1: insulin therapy
Type 2: weight loss, improved dietary habits, smoking cessation, reduced alcohol consumption, regular physical exercise, oral hypoglycemic drugs, insulting therapy if above do not provide glycemic control
An oral antidiabetic drug when mix with alcohol or cimetidone can lead to lactic acidosis
Metformin
Report these symptoms to the provider if you are taking antithyroid drugs
Fever, chills, headache, malaise, weakness
a condition that can cause nervousness, insomnia, weight loss, and HEAT INTOLERANCE
HYPERthyroidism
Give to unconscious client who is manifesting hypoglycemia
D50
Manifestations of hyperglycemia
Polyphagia,polydipsia, polyuria, glycosuria, blurred vision, fatigue, unexplained weight loss,elevated fasting glucose >125 mg/dL or HbA1C >6.5%
Taken with first bite of meal
Acarbose
Actions of levothyroxine
Increase metabolic rate and protein synthesis
increase cardiac output and renal perfusion
increase body temperature
Manifestations of hypothyroidism
Intolerance to cold, Bradycardia, drowsiness, lethargy, confusion, anorexia, weight gain, edema, constipation, fatigue, weakness, dry, sparse coarse hair, depression
give this to client who has hyperthyroidism
Antithyroid drug: methimazole and PTU