QUESTION 18 A nurse is counseling a patient who will be discharged home on propr
ID: 238587 • Letter: Q
Question
QUESTION 18 A nurse is counseling a patient who will be discharged home on propranolol [Inderal], 40 mg, po, three times daily. The patient has angina pectoris and type II diabetes. He'll be taking insulin and oral hypoglycemic agents as well. The nurse cautions the patient to check his blood sugars more frequently because: a. the beta blocker antagonizes insulin receptors making glycemic control more difficult. b. the beta blocker can blunt tachycardia and anxiety, which are signs that might alert the patient of hypoglycemia c. the beta blocker inhibits p450 enymes, resulting in increased blood levels of oral hypoglycemic drugs d. beta blockers are p450-inducing drugs, and the propranol will decrease levels of his oral hypoglycemic medications making him prone to hyperglycemia
Explanation / Answer
a. the beta blocker antagonizes insulin receptors making glycemic control more difficult.
Explanation:
-Beta-blockers are the additional chief class of blood-pressure depressing medications that have stood concerned in producing diabetes or deteriorating diabetes control.
-Nonetheless beta-blockers also chunk the issue of insulin by interrelating with nerve signs to the pancreas and can thus subordinate insulin stages smoothen when blood glucose is great.