Question

1. You are a nurse caring for a 47-year-old patient who is homeless. He is admitted to your unit two to three times per year. His medical history includes diabetes mellitus (type 2), hypertension, and alcoholism. After extensive hygienic interventions (to decrease his body odor, wash his hair, and perform oral care), you complete your assessment and find that he is not in compliance with any of his dietary and medication instructions from his last admission. Considering his history, what types of medications would you expect to be ordered?

Answer 1

Treatment for Diabetes mellitus type2: Treatment include dite,exercises,medication and insulin therapy.

Anti diabetic drugs are 6 classes.

1.Biguanides :example Metformin 2.Sulfonylurease :example Glimipride.

3.Meglitinides: Repaglinide 4.Thiazolidinediones:Pioglitazone.

5.Dipeptidyl peptidase IV inhibitors:sitagliptin. 6.Alpha glucosidase inhibitors:Acarbose.

First line drug for type 2 diabetes mellitus metformin ,second line drug is Insulin therapy and sulfonylurease.

Treatment for Hypertension : Dietary management and medications.

Antihypertensive medications are

1.ACE inhibitors: Captopril,Enalapril. 2.Angiotensin receptor blockers :Losarthan 3.Renin inhibitors:Aliskiren. 4.Beta adrinergic blockers :Propranolol. 5.Calcium channel Blockers.:Amlodipine . 6:Alpha adrinergic blockers:Prazocine . 7.Central alpha2 agonist:clonidine,methydopa. 8: Diuretics:furosemide.,Chlorothiazides. 9.Vasodilators : Hydralazine,Nitroprusside..

Treatment for the patient with Type2 diabetes mellitus ,Hypertension with alcoholism I expect was 1.Metformin(Biguanides) OD and Glibenclamide.

2.Losarthan (Angiotensin receptor blocker),or Captopril (ACE inhibitor)

3.Dietary management low carbohydrate dite and low salt dite .