Anti-diabetic Medications Overview

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

Glucagon-like Peptide 1 (GLP-1)

Alpha glucosidase inhibitors

Biguanides (correct)

Sulfonylureas

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

Aid in slowing carbohydrate absorption and digestion

Promote weight loss

Lowers fasting and postprandial blood glucose levels (correct)

Increase glucose absorption in the gastrointestinal tract

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

Enhances cellular response to insulin

Decreases glucose absorption in the gastrointestinal tract

Limits the rise of glucose postprandial (correct)

Increases glucose uptake in fat and skeletal muscles

Which medication slows carbohydrate absorption and digestion?

Alpha glucosidase inhibitors Signup and view all the answers

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

Increases cellular response to insulin by decreasing insulin resistance Signup and view all the answers

What is a common side effect of Metformin?

Anorexia, nausea, and diarrhea Signup and view all the answers

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

Consider hemodialysis for severe cases Signup and view all the answers

What is a notable side effect of Pioglitazone?

Fluid retention Signup and view all the answers

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

Semaglutide Signup and view all the answers

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

Monitor the effects and consider discontinuing the medication if necessary Signup and view all the answers

What medication is contraindicated for clients with alcohol use disorder?

Metformin Signup and view all the answers

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

Metformin Signup and view all the answers

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

Disulfiram-like reaction Signup and view all the answers

Which statement about Pioglitazone is true?

It is contraindicated for clients with severe heart failure and bladder cancer. Signup and view all the answers

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

Hypoglycemia Signup and view all the answers

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. Signup and view all the answers

What is the recommended action for Glipizide administration?

Administer it 30 minutes before breakfast. Signup and view all the answers

How should Metformin immediate-release tablets be taken?

Twice per day with breakfast and dinner. Signup and view all the answers

What can increase the risk of hypoglycemia when using Semaglutide?

Concurrent use with agents that increase insulin secretion. Signup and view all the answers

How should Acarbose be taken?

With the first bite of food, three times per day. Signup and view all the answers