Medical Surgical Nursing

(Tina Sui) #1

Local Allergic Reactions



  • Redness swelling, tenderness and induration or a 2- to 4-cm wheal


Systemic Allergic Reactions (rare)



  • Immediate local skin reaction that gradually spreads into generalized urticaria (hives).


Diabetes Mellitus Drug Therapy: Oral Agents



  • Used only in type II DM

  • They increases the secretion of insulin by the pancreatic beta cells, may improve


binding between insulin and insulin receptors or increase the number of insulin


receptors



  • Used along with (but not a substitute to) nutrition and exercise.

  • In time, they may no longer be effective in controlling the patient's diabetes because


of decline of beta cells. In such cases, the patient is treated with insulin.



  • Sulfonylureas: Glipizide, Glyburide and Glimepiride, Chlorpropamide (Diabinese)

  • Meglitinides: Prandin & Starlix

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