A 74-year-old has been diagnosed with type 2 diabetes based on the results of glucose tolerance test during a current hospital stay. The care team has prescribed oral glimepiride
Which of the following guidelines should the patient's nurse use in the administration of the new drug? A) Administer the drug 30 minutes before each meal, beginning the drug with a low dose.
B) Give the glimepiride only if blood glucose exceeds 200 mg/dL (11.1 mmol/L).
C) Drug levels will be required to determine the therapeutic serum concentration of the drug.
D) Hold the drug if the patient exhibits signs and symptoms of hyperglycemia.
A
Feedback:
Sulfonylurea should be given half an hour before meals and should begin with a lower dose than among younger adults. Administration would not be held if blood glucose was less than 200 mg/dL and hyperglycemia would be an indication to withhold glimepiride. Drug levels are not required.
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