Outline the teaching you need to provide to Y.L. regarding oral hypoglycemic therapy
What will be an ideal response?
Ans: • For each drug, review the name, action, dose, storage, adverse reactions, and side effects. Review
when to take the drugs. She should eat the prescribed diet and take the first doses with breakfast.
Missing or delaying meals increases the risk of swings in glucose levels.
• Because a hypoglycemic reaction can occur with glipizide, teach her the symptoms of
hypoglycemic reaction (headache, nervousness, sweating, tremors, and rapid pulse), how to treat a
reaction, and ways to decrease the chance of a reaction (avoiding alcohol, sick day rules).
• Teach her the symptoms of hyperglycemia (thirst, increased urine output, sweet fruity breath odor)
and what to do if hyperglycemia occurs.
• Advise Y.L. to obtain a medical alert card, tag, or bracelet indicating type 2 DM and carry a card in
her wallet outlining her medication regimen.
• She should avoid OTC medications unless approved by the prescriber.
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Fill in the blank(s) with correct word
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