Which problem associated with insulin therapy and diabetes is intensified for a patient who also is prescribed warfarin (Coumadin) or a beta adrenergic blocker?
a. Hypoglycemia
b. Nausea and vomiting
c. Coronary artery disease
d. Risk for excessive bleeding
A
Some drugs intensify the effects of insulin and greatly increase the risk for hypoglycemia. In addition, drugs such as beta adrenergic blockers also reduce the patient's perception of hypoglycemia, further increasing hypoglycemic risk. Insulin does not affect the action of warfarin, so it does not increase the risk for bleeding. Although diabetes increases the risk for coronary artery disease, insulin therapy helps reduce that risk. Insulin is not associated with nausea or vomiting as side effects.
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