Final answer:
In the teaching plan for a client prescribed glipizide for type 2 diabetes, include avoiding NSAIDs, changing positions slowly, not doubling on missed doses, and not discontinuing the medication without consulting a healthcare provider.
Step-by-step explanation:
When educating a client who has type 2 diabetes and is prescribed glipizide (Glucotrol), certain precautions are important to include within a teaching plan. Glipizide, a sulfonylurea drug, helps to manage blood glucose by stimulating the pancreas to secrete more insulin. One major side effect is the risk of hypoglycemia, which includes symptoms like hunger, sweating, shakiness, and weakness. It's crucial for patients to recognize these signs and understand how to respond. Based on the details provided:
- Avoid taking nonsteroidal anti-inflammatory drugs (NSAIDs) as they may potentiate the blood glucose-lowering effect of sulfonylureas and increase the risk of hypoglycemia.
- Change positions slowly to prevent dizziness or lightheadedness due to the blood pressure-lowering effect of glipizide.
- If a dose is missed, it is not advisable to double the next dose as that could increase the risk of hypoglycemia. Instead, take the next dose as usual.
- Do not discontinue the medication if you develop an infection; instead, contact your healthcare provider for appropriate management.
Alongside medication, regular exercise, a balanced diet, and frequent blood glucose monitoring are part of an integrated approach to managing diabetes. It's also important to note that individuals may have different responses to medications due to genetic variations, as highlighted by the medical field of pharmacogenetics.