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1 to 2 hours
3 to 5 hours
Hypothermia and seizures.
Nausea and diarrhea.
Irritability and confusion.
Fruity, acetone odor to the breath.
Patients should use the injection site that is the most accessible.
During times of illness, patients should increase their insulin dosage by 25%.
When mixing insulins, the cloudy (such as NPH) insulin should be drawn up into the syringe first.
When mixing insulins, the clear (such as Regular) insulin should be drawn up into the syringe first.
Random blood glucose level above 170 mg/dL.
Blood glucose level of less than 50 mg/dL after meals.
Fasting blood glucose level between 70 and 100 mg/dL.
Evening blood glucose level below 70 mg/dL.
“Take this medication in the evening, with a snack.”
“Take this medication in the morning, 30 minutes before breakfast.”
“This medication should be taken after the midday meal.”
“It does not matter what time of day you take this medication.”
Giving her half the original dose
Withholding all medications as ordered
Contacting the prescriber for further orders
Giving her the medication with a sip of water
“I will call my doctor right away.”
“I will give myself the Regular insulin.”
“I will take an oral form of glucose.”
“I will rest until the symptoms pass.”
Avoid the abdomen because absorption there is irregular.
Choose a different site at random for each injection.
Give the injection in the same area each time to promote consistent absorption.
Rotate sites within the same location for about 1 week before rotating to a new location.
It should be given within 15 minutes of the patient beginning a meal.
It should be given after the meal has been completed.
It is administered once daily at the time of the midday meal.
It is taken only in the evenings with a snack before bedtime.
Hemoglobin A1C level
Fingerstick fasting blood glucose level
Serum insulin levels
Call the lab to order a fasting blood glucose level.
Have the patient eat glucose tablets.
Have the patient consume fruit juice, a nondiet soft drink, or crackers.
Give him intravenous glucose.
Insulin aspart or lispro can be administered intravenously, although there must be a 50% dose reduction.
Any form of insulin can be administered intravenously at the same dose as that ordered for subcutaneous administration.
Only Regular insulin can be administered intravenously.
Insulin should never be given intravenously.
The antibiotics may cause an increase in glucose levels.
The corticosteroids may cause an increase in glucose levels.
His type 2 diabetes has converted to type 1.
The hypoxia caused by the chronic obstructive pulmonary disease causes an increased need for insulin.
30 minutes before breakfast
With the first bite of each main meal
30 minutes after breakfast
Once daily at bedtime
Increase the pancreatic secretion of insulin.
Decrease insulin resistance.
Increase blood glucose levels.
Decrease the pancreatic secretion of insulin.
Give the drug as ordered 30 minutes before breakfast.
Hold the drug and check the order with the prescriber.
Give the drug and monitor for adverse effects.
Give a reduced dose of the drug with breakfast.
Administering oral drugs before meals to maximize absorption
Rinsing the oral cavity after using steroid inhalers
Administering the corticosteroids before bedtime to minimize adrenal suppression
Discontinuing the medication immediately if a weight gain of more than 5 pounds in 1 week is experienced
Nonsteroidal antiinflammatory drugs.
Pale skin color
Loss of hair
It may cause severe postural hypotension.
It should be taken with food or milk to minimize gastrointestinal upset.
The medication should be stopped immediately if nausea or vomiting occurs.
Weight gain of 5 pounds or more within a week is an expected adverse effect.
Chronic obstructive pulmonary disease
Dehydration and weight loss
Delayed wound healing
Chronic obstructive pulmonary disease and asthma
Double-up on the medication if a dose is missed.
Not be concerned about breast lumps or bumps that occur.
Report any weight gain of more than 5 pounds per week.
Take the medication on an empty stomach to enhance absorption.
A patient who has atrophic vaginitis
A patient who has inoperable prostate cancer
A woman who has just given birth and wants to prevent postpartum lactation
A woman with a history of thrombophlebitis
Estradiol transdermal (Estraderm)
Giving magnesium sulfate along with the oxytocin
Administering the medication in an intravenous bolus
Administering the medication with an IV infusion pump
Monitoring fetal heart rate and maternal vital signs every 6 hours
Prevention of preterm labor in the 15th week of pregnancy
Prevention of preterm labor in the 22nd week of pregnancy
Stimulation of contractions in prolonged labor
Stimulation of ovulation as part of infertility treatments
Incidence of nausea.
Tendency to bleed during menstruation.
Levels of triglycerides.
Risk for thrombosis.
Complete blood count
In the evening just before bedtime
In the morning with an 8-ounce glass of water
With the first bite of the morning meal
Between meals on an empty stomach
She should stop taking the drug at least 72 hours before the trip.
She must remember to take this drug with a full glass of water each morning.
She should increase the calcium supplements that she takes with the drug.
No change in interventions is needed.
White or Asian race
African American race
History of participation in active sports
She should continue to take the alendronate with water.
She should not take the alendronate until she can sit up for 30 minutes.
She can take the medication with breakfast.
She should stop taking the medication 72 hours before her surgery.
“Estrogen patches are still the first choice for osteoporosis prevention.”
“Estrogen patches are often used as long-term therapy for osteoporosis prevention.”
“Estrogen patches are associated with a high risk for cardiovascular problems and are not the first choice for osteoporosis prevention.”
“Estrogen patches will be prescribed if the patient prefers patches to oral medications.”
Severe weight gain.
Thyroid replacement therapy.
Oral anticoagulant therapy.
Nonsteroidal antiinflammatory drugs.
“The patch allows for blood levels to increase quickly.”
“If you don’t take the patch, you will have to have injections instead.”
“Oral forms are not absorbed well by the body. The patch allows for better absorption of the medication.”
“You will only have to wear the patch weekly.”
Fluid volume depletion.
Increased hair growth.
Increased prostate size.
Fibrocystic breast disease
Inoperable breast cancer
Peliosis of the liver.
Cirrhosis of the liver.
It must be taken on an empty stomach.
Finasteride should not be handled by pregnant women.
It is given by deep intramuscular injection to avoid tissue irritation.
The patient should be warned that alopecia is a common adverse effect.
Significant increase in blood pressure
Significant decrease in blood pressure
Significant increase in bleeding tendencies
Reduction in the effectiveness of the sildenafil
Nonsteroidal antiinflammatory drugs
Proton pump inhibitors
“I’ve heard many good things about saw palmetto.”
“Your doctor will talk to you about that.”
“There are very few adverse effects with saw palmetto therapy.”
“The doctor will need to draw some blood and do a digital rectal exam first.”
Decreased sexual libido
Postpartum breast engorgement
Fibrocystic breast disease
Metastatic breast cancer