This patient needs to be scheduled to return after fasting to perform a

This patient needs to be scheduled to return after

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tract infection (UTI) which can cause memory issues. This patient needs to be scheduled to return after fasting to perform a hemoglobin A1C. A finger stick blood sugar will be performed for immediate results. How might your treatment plan, in terms of medications, differ for this patient? Include the class of medication, mechanism of action, route, the half-life, how it is metabolized in and eliminated from the body, contraindications, and black box warnings. One thing different that I would do would be to prescribe Metformin hcl. This is a first line oral medication for type 2 diabetes. It belongs to a class of drugs called biguanides. It decreases the hepatic glucose production and it also decreases intestinal absorption of glucose and improves insulin sensitivity. The average half-life is 6.2 hours. It is not metabolized but is excreted unchanged in the urine. Initially, I would start her on 250 mg by mouth every 12 hours with meals (due to upset stomach) and titrate if clinically indicated (Rx List, 2018). The black box warning related to Metformin is that there is a risk for lactic acidosis, which can lead to hypothermia, hypotension, bradyarrhythmia’s, and death. What health maintenance or preventative education is important for this client based on your choice of medication/treatment? The most important preventative education is that the patient will need to be prescribed and instructed in the use of a glucometer to monitor blood sugar 3 times per day before meals. She will need to keep a log of these readings. She will be instructed and placed on a diabetic diet and exercise daily (physical and mental). Because of the Coumadin, she
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  • Fall '16
  • Diabetes mellitus type 2

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