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Anti-diabetic Medications Overview

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20 Questions

Which medication is considered the first choice for most clients who have type 2 diabetes?

Biguanides

What is the primary function of DPP-4 inhibitors (gliptins) in managing type 2 diabetes?

Lowers fasting and postprandial blood glucose levels

What is the effect of SGLT-2 inhibitors in the management of type 2 diabetes?

Limits the rise of glucose postprandial

Which medication slows carbohydrate absorption and digestion?

Alpha glucosidase inhibitors

What is the mechanism of action of Thiazolidinediones (glitazones) in managing diabetes?

Increases cellular response to insulin by decreasing insulin resistance

What is a common side effect of Metformin?

Anorexia, nausea, and diarrhea

Which statement is true regarding the management of lactic acidosis caused by Metformin?

Consider hemodialysis for severe cases

What is a notable side effect of Pioglitazone?

Fluid retention

Which medication is associated with manifestations of pancreatitis reported by clients?

Semaglutide

What are the nursing actions recommended for clients taking Acarbose experiencing gastrointestinal effects?

Monitor the effects and consider discontinuing the medication if necessary

What medication is contraindicated for clients with alcohol use disorder?

Metformin

Which oral antidiabetic medication is contraindicated in clients with severe infection, shock, kidney impairment, and hypoxic conditions?

Metformin

What reaction can concurrent use of alcohol and Glipizide lead to?

Disulfiram-like reaction

Which statement about Pioglitazone is true?

It is contraindicated for clients with severe heart failure and bladder cancer.

What is a potential risk of concurrent use of Acarbose with sulfonylureas or insulin?

Hypoglycemia

What should a nurse do when a client is on Canagliflozin and also using rifampin, phenytoin, or phenobarbital?

Monitor glucose levels and consider a dose reduction of Canagliflozin.

What is the recommended action for Glipizide administration?

Administer it 30 minutes before breakfast.

How should Metformin immediate-release tablets be taken?

Twice per day with breakfast and dinner.

What can increase the risk of hypoglycemia when using Semaglutide?

Concurrent use with agents that increase insulin secretion.

How should Acarbose be taken?

With the first bite of food, three times per day.

Learn about the various classes of anti-diabetic medications such as sulfonylureas, meglitinides, biguanides, and thiazolidinediones. Understand how these medications work to regulate blood sugar levels and manage type 2 diabetes effectively.

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