When a patient who takes metformin (Glucophage) to manage type 2 ...

[burchfield96]

When a patient who takes metformin (Glucophage) to manage type 2 diabetes develops an allergic rash from an unknown cause, the health care provider prescribes prednisone (Deltasone). The nurse will anticipate that the patient may
 
  a. need a diet higher in calories while receiving prednisone.
  b. develop acute hypoglycemia while taking the prednisone.
  c. require administration of insulin while taking prednisone.
  d. have rashes caused by metformin-prednisone interactions.

Question 2

Which information will the nurse include when teaching a 50-year-old patient who has type 2 diabetes about glyburide (Micronase, DiaBeta, Glynase)?
 
  a. Glyburide decreases glucagon secretion from the pancreas.
  b. Glyburide stimulates insulin production and release from the pancreas.
  c. Glyburide should be taken even if the morning blood glucose level is low.
  d. Glyburide should not be used for 48 hours after receiving IV contrast media.

[micaelaswann]

Answer to Question 1

ANS: C
Glucose levels increase when patients are taking corticosteroids, and insulin may be required to control blood glucose. Hypoglycemia is not a side effect of prednisone. Rashes are not an adverse effect caused by taking metformin and prednisone simultaneously. The patient may have an increased appetite when taking prednisone, but will not need a diet that is higher in calories.

Answer to Question 2

ANS: B
The sulfonylureas stimulate the production and release of insulin from the pancreas. If the glucose level is low, the patient should contact the health care provider before taking the glyburide, because hypoglycemia can occur with this class of medication. Metformin should be held for 48 hours after administration of IV contrast media, but this is not necessary for glyburide. Glucagon secretion is not affected by glyburide.

[burchfield96]

TYSM

[cpetit11]

Gracias!