NCLEX RN Practice Question # 906

NCLEX Examination.

Practice Question # 906.

 

nclex examination

 

Metformin:

Metformin decreases the production and increases the uptake of glucose. It is effective in lowering blood glucose levels and does not cause hypoglycemia as the sulfonylureas do. It has been associated with the development of lactic acidosis. Both acarbose and metformin can cause GI distress. Metformin is approved for use in children 10 years of age and older. It is also being used in the treatment of women with polycystic ovary syndrome.

Indications: Adjunct to diet and exercise for the treatment of type 2 diabetics older than 10 years of age; extended release form for patients older than 17 years of age; adjunct treatment with polycystic ovary syndrome.

Actions: May increase the peripheral use of glucose, increase production of insulin, decrease hepatic glucose production, and alter intestinal absorption of glucose.

 

Adverse effects: Hypoglycemia, lactic acidosis, GI upset, nausea, anorexia, diarrhea, heartburn, allergic skin reaction.

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