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I am used to treat hyperglycemia. I am not good for type 1 diabetes. I might cause hypoglycemia and the client could be hungry, tachycardic, shaky and confused. I am a second generation of this class.
repaglinide
I treat thyroid disorder. The client may have tachycardia, nervousness, palpitations, heat intolerance, weight loss, and chest pain with an overdose of this medication. Usually given on empty stomach and at least 30 minutes before breakfast. Myxedema can occur with sudden withdrawal of thyroid replacement therapy.
levothyroxine
I treat diabetes insipidus. I work to cause the reabsorption of water. I can cause water intoxication and hyponatremia. Clients should decrease water intake once they start therapy. Urine volume should decrease.
desmopressin
I work to treat type 2 diabetes. I should be held if client is having surgery or procedures that require administration of IV contrast media. Need to have a healthy renal function. Lowers blood glucose in 3 different ways.
metformin
I raise the blood levels of glucose through glycogenesis. I might cause high incidence of gastrointestinal effects like nausea and vomiting. Turn clients on sides to decrease the risk of aspiration. Instruct clients to have oral intake to prevent another episode of hypoglycemia.
glucagon
I treat type 2 diabetes with or without drug therapy with glitazone or metaformin. Pancreatitis is a risk with this medication and clients should report severe abdominal pain. Signs and symptoms of hyper and hypoglycemia should be reviewed with the client. Any combination with metformin needs to be monitored for side effects related to metformin.
sitagliptin
Helps to treat ulcers. Long-term use can increase risk for bone loss due to decrease in calcium. Diarrhea can indicate c.diff. Might need to increase calcium and vitamin D. Warfarin and phenytoin can increase if given with this medication.
omeprazole
Works to treat nausea and vomiting. Common adverse reactions include headache, dizziness, constipation and diarrhea. More severe include serotonin syndrome, torsade de pointes, and Stevens Johnson Syndrome
ondansetron
Treats constipation. Need to take with full glass of water to prevent intestinal obstruction. Impedes transit time through GI tract and decrease absorption of orally ingested medications
psyllium
Works on IBSD. Can cause constipation and impaction so need to monitor bowel movements. Contraindications include diverticulitis, Crohen’s disease, and chronic constipation
alosetron
Helpful for a client that experiences respiratory depression with opioids. Warn clients of pain returning.
naloxone
Helps to keep uric acid levels low. Client should drink at least 3 liters of fluid per day to help prevent nephropathy. Might cause cataracts. Might have a metallic taste in the client’s mouth.
allopurinol
I increase susceptibility to infection. I interact with live vaccines. I can cause bone marrow suppression if taken with chemo drugs. Clients taking me should be monitored for heart failure. I treat joint inflammation.
methotrexate
I can cause eye pain and vision changes. I interact with calcium. I prevent and treat osteoporosis. I should be taken with 6-8 oz. of water. Clients taking me should stay upright and not eat for 30 minutes after each dose.
alendronate
I can cause hypocalcemia. I lose effectiveness after time. I should not be taken by someone with a salmon allergy. I treat post-menopausal osteoporosis. Clients taking me should eat a diet high in calcium and vitamin D.
calcitonin-salmon
I decrease the absorption of many medications. I can cause kidney stones. I treat hypocalcemia.
calcium citrate/carbonate
I can cause bone marrow suppression. I am teratogenic. I treat joint inflammation. I can cause liver damage. I increase the risk of bleeding when taken with warfarin. Clients taking me should drink at least 2L per day.
etanercept
I increase the risk of DVTs. I shouldn’t be mixed with estrogen. I decrease the risk of some breast cancers.
raloxifene