This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A client is receiving glyburide. The nurse assesses the client for a decrease in the drug's effect ... (Read 77 times)

Wadzanai

  • Hero Member
  • *****
  • Posts: 528
on: Jul 23, 2018
A client is receiving glyburide. The nurse assesses the client for a decrease in the drug's effect if which of the following drugs are initiated? Select all that apply.
 
  A) Atenolol (Tenormin)
  B) Amlodipine (Norvasc)
  C) Phenytoin (Dilantin)
  D) Lithium (Eskalith)
  E) Levothyroxine (Synthroid)

Question 2

A client is receiving glipizide at a health care facility. The client is also prescribed an anticoagulant. The nurse would be alert for which of the following related to the interaction of these two drugs?
 
  A) Increased risk of lactic acidosis
  B) Risk of acute renal failure
  C) Increased risk for bleeding
  D) Increased hypoglycemic effect


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

bdobbins

  • Sr. Member
  • ****
  • Posts: 326
Reply #1 on: Jul 23, 2018
Answer to Question 1

Ans: A, B, C, E
Feedback:
Beta blockers (atenolol), calcium channel blockers (amlodipine), hydantoins (phenytoin), and thyroid agents (levothyroxine), among others, can result in decreased hypoglycemic effects of sulfonylureas (glyburide).

Answer to Question 2

Ans: D
Feedback:
The nurse should observe for increased hypoglycemic effect in the client as the effect of the interaction of sulfonylureas with the anticoagulants, chloramphenicol, clofibrate, fluconazole, histamine-2 antagonists, methyldopa, monoamine oxidase inhibitors (MAOIs), salicylates, sulfonamides, and tricyclic antidepressants. Increased risk of lactic acidosis is an effect of the interaction of metformin with glucocorticoids. Increased risk for bleeding is an effect of the interaction of oral anticoagulants with anti-infective drugs. There is a risk of acute renal failure when iodinated contrast material used for radiologic studies is administered with metformin.


Wadzanai

  • Member
  • Posts: 528
Reply 2 on: Jul 23, 2018
Great answer, keep it coming :)

nyrave

  • Member
  • Posts: 344
Reply 3 on: Yesterday
Gracias!

« previous next »
 

Did you know?

Women are 50% to 75% more likely than men to experience an adverse drug reaction.

Did you know?

Vampire bats have a natural anticoagulant in their saliva that permits continuous bleeding after they painlessly open a wound with their incisors. This capillary blood does not cause any significant blood loss to their victims.

Did you know?

Acetaminophen (Tylenol) in overdose can seriously damage the liver. It should never be taken by people who use alcohol heavily; it can result in severe liver damage and even a condition requiring a liver transplant.

Did you know?

More than 50% of American adults have oral herpes, which is commonly known as "cold sores" or "fever blisters." The herpes virus can be active on the skin surface without showing any signs or causing any symptoms.

Did you know?

In 1835 it was discovered that a disease of silkworms known as muscardine could be transferred from one silkworm to another, and was caused by a fungus.

Client receiving hemodialysis. Client receiving hemodialysis.
A drug’s bioavailability will depend on the dosage form and how much will actual A drug’s bioavailability will depend on the dosage form and how much will actual
Drug–Drug Interactions with Warfarin Drug–Drug Interactions with Warfarin
Effect of Shifting Labor into R&D Effect of Shifting Labor into R&D
The Effect of Using PPP on Comparisons of GDP The Effect of Using PPP on Comparisons of GDP
First-Pass Effect First-Pass Effect
Video: Cellular Respiration & Glucose Mobilization (Glucose transport & Phosphorylation of Glucose)

For a complete list of videos, visit our video library