A client with T2DM who takes empagliflozin reports repeated vomiting and minimal oral intake. Which instructio…

Question

A client with T2DM who takes empagliflozin reports repeated vomiting and minimal oral intake. Which instruction should the nurse provide?

Accepted Answer

Option 2: Hold empagliflozin, contact the prescriber, and seek urgent care for abdominal pain or rapid breathing.

Vomiting and reduced intake increase the risk of ketoacidosis and volume depletion with empagliflozin. The client should hold the drug, contact the prescriber, and seek urgent evaluation for symptoms such as abdominal pain or rapid breathing because ketoacidosis can occur without marked hyperglycemia. Fluid restriction, dose doubling, and stopping prescribed basal insulin can increase harm.

Answer

Option 1: Continue empagliflozin and restrict fluids until the vomiting stops to reduce urinary glucose loss.

Answer

Option 3: Double the next empagliflozin dose after eating normally to replace medication lost during the illness.

Answer

Option 4: Stop basal insulin while taking empagliflozin because using both during illness causes severe hypoglycemia.

A client with T2DM who takes empagliflozin reports repeated vomiting and minimal oral intake. Which instruction should the nurse provide?

In-depth explanation

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A client with T2DM who takes empagliflozin reports repeated vomiting and minimal oral intake. Which instruction should the nurse provide?

In-depth explanation

Master the NCLEX-RN with MyMerci