Question

please answer thses question. 1 What are 3 topics should be taught for a patient who is taking Byetta for diabetes type 2? 2. Which two blood tests should a patient be monitored when taking Genotropin? 3. What 3 topics should a patient be taught to avoid adverse effects when taking Florinef? 4. Which 2 lab tests does a patient taking Avandia need to have done routinely? 5. What 4 adverse side effects should a patient who is taking Propylthiouracil (PTU) report to their health care provider? Objectives:

Answer 1

1.The following are the topic to be taught to the patient who is taking Byetta are

• How to use : should be administered subcutaneously before 1 hour (60 minutes ) of meal(before breakfast and dinner).It will not work if taken after meals.
• Infection control : Sharing of injection even with change of needles by other patient pose a great risk fir blood borne infections
• MysavingRx Card can save the out of pocket expense by the patient
• Teach about how Byetta works after administration (it makes pancreas to release insulin when necessary,stops liver from releasing glucose,slows down the stomach from emptying food quickly and gives a decreased appetite

2.Genotropin is a growth hormonw used in children to treat growth failure.

• Monitor blood glucose level because this will increase the blood glucose level during therapy
• Monitor thyroid function test before and during treatment because this will decrease T4 level resulting in hypothyroidism and interrupt the effect of genotropin
• Other test like esonophil count may increase,alkaline phosphatase level if administered to adult patient

3.Florinef is a steroid drug.Some of the important topic yo be taught to a patient to avoid adverse effects are

• Avoid taking any live vaccines,because it may not be helpful or functional
• Avoid people who have infection like chickenpox, measles as there are high chances to get infected due to low immunity
• This drug is not prescribed for patient who is having fungal infection because it can aggrevate the condition leading to fatal events
• So not skip medicine,if skipped take it immediately on remembering if it is near to next dose or less than 4 hours don't take the missed dose

4.Avandia (Rosiglitaxon) is an antidiabetic drug.

• Monitor blood glucose routinely to prevent hypoglycemia
• Blood cholesterol level as it poses a great risk of heart attack
• Liver and kidney function test periodically

5.PTU is used to treat hyperthyroidism. The adverse effects of PTU which has to be reported immediately are

• Yellow discoloration of skin and eye (jaundice) indicates liver damage
• Clay coloured stool
• Joint pain
• Changes or decreased urine output
• Fever,fatigue, bleeding,bruises