When reviewing a client's current medications, the nurse is concerned that the insulin dose will need to be adjusted because the client is currently prescribed which medications?

Question

Standard Text: Select all that apply.
1. Beta blocker
2. Monoamine oxidase inhibitor
3. Angiotensin-converting enzyme inhibitor
4. Cardiac glycoside
5. Nonsteroidal anti-inflammatory agents

Answer 1

Correct Answer: 1,2,3
Rationale 1: Insulin must be used cautiously in conjunction with medications that can produce hypoglycemia, including beta blockers.
Rationale 2: Insulin must be used cautiously in conjunction with medications that can produce hypoglycemia, including monoamine oxidase inhibitors.
Rationale 3: Angiotensin-converting enzyme inhibitors increase insulin sensitivity and may enhance the hypoglycemic effects of insulin.
Rationale 4: Insulin does not need to be used cautiously in conjunction with cardiac glycosides.
Rationale 5: Insulin does not need to be used cautiously in conjunction with nonsteroidal anti-inflammatory agents.
Global Rationale: Insulin must be used cautiously in conjunction with medications that can produce hypoglycemia, including beta blockers, monoamine oxidase inhibitors, and angiotensin-converting enzyme inhibitors. Cardiac glycosides and NSAIDs do not interact with insulin.