The nurse is preparing patient teaching for a diabetic patient who is to begin pramlintide acetate (Symlin) therapy, which will be taken in addition to insulin. What is the priority nursing instruction to include in this teaching plan?
A) "The drug is injected subcutaneously immediately before a major meal."
B) "The drug has a rapid onset of action."
C) "Inject the drug at least 2 inches away from any insulin injection site."
D) "Do not combine the drug with insulin in the same syringe."
A
Feedback:
Pramlintide works to modulate gastric emptying after a meal, so correct timing of administration of this drug is essential to its function. All options are appropriate instructions for this drug. However, making sure that the patient understands that injecting the medication immediately before eating a major meal is most important because it has a dramatic effect on the therapeutic action of the drug. If the medication is not given at the correct time, the other options would be insignificant.
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