antidiabetic
oral antidiabetic drug
client education
Etc
All about thyroidism
Nursing implication
Or action
100

This drug can mask symptoms of hypoglycemia 

Beta blockers 

100

This drug is contraindicated in clients with kidney impairment or alcohol disuse disorder and may cause metallic taste

Metformin 

100

an action to take to avoid lipohypertrophy 

Rotate injection sites 

100

Adverse effects of levothyroxine 

heat intolerance, Tachycardia, palpitation, chest pain, increased BP, anxiety, nervousness, tremors, insomnia, weight loss, long term use: osteoporosis 

100

Monitor TSH and T4 levels periodically for this drug 

Levothyroxine 

200

Adverse effects of insulin 

Hypoglycemia 

hypokalemia 

lipohyperthrophy 

200

This is the amount of time you need to know before giving oral antidiabetic before meals (answer is in minutes)

30 minutes 

200

advise client to take levothyroxine in the ____

take daily in the morning in empty stomach

200

Type of food that decreases absorption of levothyroxine 

food contains iodine (e.g shellfish)

200

Caution in clients with hypertension for this hormone replacement therapy 

Levothyroxine 

300

Types of Insulin (list 4 and examples)

Rapid-acting: lispro, aspart

short-acting: regular insulin

intermediate acting: NPH 

Long-acting: glargine, determir 

300

Manifestations of hypoglycemia 

Early: confusion, irritability , tremors, sweating

late: seizure, coma, hypothermia, death if not treated

300

The only insulin that can be administered thru an iv

Regular insulin 

300

adverse effects of this drug are Hypothyroidism, agranulocytosis, liver and bone marrow toxicity

Antithyroid drugs 

300

Two ways to manage sliding scale insulin 

AC and HS

Every 6 hr

400

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 

400

An oral antidiabetic drug when mix with alcohol or cimetidone can lead to lactic acidosis 

Metformin 

400

Report these symptoms to the provider if you are taking antithyroid drugs

Fever, chills, headache, malaise, weakness

400

a condition that can cause nervousness, insomnia, weight loss, and HEAT INTOLERANCE 

HYPERthyroidism 

400

Give to unconscious client who is manifesting hypoglycemia

D50

500

Manifestations of hyperglycemia 

Polyphagia,polydipsia, polyuria, glycosuria, blurred vision, fatigue, unexplained weight loss,elevated fasting glucose >125 mg/dL or HbA1C >6.5%

500

Taken with first bite of meal 

Acarbose 

500

Actions of levothyroxine 

Increase metabolic rate and protein synthesis 

increase cardiac output and renal perfusion 

increase body temperature 

500

Manifestations of hypothyroidism 

Intolerance to cold, Bradycardia, drowsiness, lethargy, confusion, anorexia, weight gain, edema, constipation, fatigue, weakness, dry, sparse coarse hair, depression 

500

give this to client who has hyperthyroidism 

Antithyroid drug: methimazole and PTU