ACTIVE LEARNING TEMPLATE: Medication STUDENT NAME______________________________________ Acarbose MEDICATION___________________________________________________________________________ REVIEW MODULE CHAPTER____________ inhibitors CATEGORY CLASS__Alpha-glucosidase _____________________________________________________________________ PURPOSE OF MEDICATION Expected Pharmacological Action Works in the small intestine and pancreas, Decreases the rate of complex CHO metabolism and glucose absorption postprandially Therapeutic Use Used for type 2 with significant postprandrial hyperglycemia; Used in combination with insulin and metformin in pt with type 1 diabetes mellitus Complications sleepiness, weakness, headache, dizziness, vertigo, hypoglycemia, diarrhea, abdominal distention, increased liver function tests, anemia, uticaria Medication Administration Oral Contraindications/Precautions Gi distress, liver disorders, pregnancy, inflammatory bowel disease, colon ulcers, partial bowel obstruction, patients under 18, lactation Interactions Nursing Interventions - Periodically monitor blood glucose, HBA1c liver, enzymes, Hct, and Hbg - Treat hypoglycemia with dextrose, not sucrose sulfonylureas, thiazides, corticosteroids, estrogensm, phenytoin, garlic, ginseng, phenothiazines Client Education Evaluation of Medication Effectiveness Reduces blood sugar ACTIVE LEARNING TEMPLATES - Acarbose prevents the breakdown of table sugar; have a source of dextrose available to treat low blood sugar - Monitor blood glucose closely - Monitor weight and report significant changes - Report abdominal distress