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Author Question: A nurse is caring for a client receiving insulin detemir 10 units at bedtime. Which of the following ... (Read 16 times)

WWatsford

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on: Jul 23, 2018
A nurse is caring for a client receiving insulin detemir 10 units at bedtime. Which of the following drugs, if started, would most likely require a decrease in the dosage of insulin? Select all that apply.
 
  A) Sulfamethoxazole/trimethoprim (Septra)
  B) Metoprolol (Lopressor)
  C) Fenofibrate (Tricor)
  D) Diltiazem (Verapamil)
  E) Albuterol (Ventolin)

Question 2

A nurse is caring for a client receiving insulin glargine (Lantus) 20 units at bedtime. Initiation of which of the following drugs may increase the client's insulin requirement? Select all that apply.
 
  A) Methylprednisolone (Medrol)
  B) Metoprolol (Lopressor)
  C) Fenofibrate (Tricor)
  D) Estradiol (Estrace)
  E) Niacin (Niaspan)


juliaf

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Reply #1 on: Jul 23, 2018
Answer to Question 1

Ans: A, B, C
Feedback:
Sulfonamides (sulfamethoxazole/trimethoprim), beta-blocking drugs (metoprolol), and fibrates (fenofibrate), among others, can increase the effect of insulin and require a decrease in insulin dosage to control the client's diabetes. Diltiazem and albuterol decrease the effect of insulin, requiring an increase in the dosage.

Answer to Question 2

Ans: A, D, E
Feedback:
Corticosteroids (methylprednisolone), estrogens (estradiol), and niacin (Niaspan) are among the drugs can decrease the effect of insulin and require an increase in insulin dosage to control the client's diabetes. Beta blockers and fibrates increase the effect of insulin and thus may require a decrease in the dosage of insulin.


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WWatsford

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Reply #2 on: Jul 23, 2018
Both answers were spot on, thank you once again


juliaf

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Reply #3 on: Jul 23, 2018
Great! Please up vote :D


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