NCLEX- Endocrine DB

0.5 5o 1 hour

15 min

1 to 2 hours

Sulfonylureas. Results in insulin release from pancrease

Sulfonylureas. Results in insulin release from pancrease

alcohol. can cause a disulfiram- like reaction (intense n, v, flushing and palpitations).

Meglitinides. Results in insulin release from pancreas

30 minutes before the clients eats.

Biguanides. Reduces production of glucose w/in the liver through supression of gluconeogenesis and increases muscles' glucose uptake and use

Lactic Acidosis.

Thiazolidineidiones (Glitazones). Decreases insulin resistance. Increases gluocse uptake and production

Alpha glucosidase inhibitors. slows carb absorption and digestion

Gliptin. promotes release of insulin and decreases glucagon. lowers postprandial blood glucose levels.

Amylin mimetic. Decreases postprandial glucose levels. Delays gastric emptying

Because the med causes delayed gastric emptying, take oral medis before injecting Pramlintide and discard open vials after 28 days.

Exenatide (Byetta). Delays gastric emptying lower postprandial glucose levels. Give 60 min before evening or morning meal.

GI distress (N, V). Turn clients to left side foloowing administration.