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优降糖治疗非胰岛素依赖型糖尿病时,如应用不当,可引起低血糖反应。护理:1、严密观察病情.优降糖系第二代磺脲类降糖药,服后2~6h血浓度达高峰值,持续作用为10~24h,注意听取服用优降糖患者主诉,密切观察临床表现,尤其对高龄及合并肾脏疾病患者,更需特别注意。优降糖对机体的敏感性因人而异,故对初用者,应从小剂量开始,逐渐增加。在调整剂量过程中,患者出现精神失常,应考虑发生低血糖昏迷之可能。警惕高龄患者发生有非典型急性低血糖症。2、避免可能导致低血糖的因素:鼓励患者按规定进食,如病情所致纳食差,一时不能纠正时,应及时调整药量或暂停使用。3、对急性患者,立即留取血、尿标本,
Glyburide treatment of non-insulin-dependent diabetes, such as improper application, can cause hypoglycemia. Care: 1, close observation of the disease.Glucagon Department of the second generation of sulfonylurea hypoglycemic agents, 2 ~ 6h after service blood concentration reached its peak, the continuing role of 10 ~ 24h, pay attention to taking patients with glyburide complaints, close To observe the clinical manifestations, especially for elderly patients with kidney disease, need more special attention. The hypoglycemic sensitivity to the body varies from person to person, so for the first user, should start small dose, and gradually increased. In adjusting the dose process, patients with mental disorders, should consider the possibility of hypoglycemic coma. Be wary of atypical acute hypoglycemia in elderly patients. 2, to avoid the factors that may lead to hypoglycemia: to encourage patients to eat according to the provisions, such as the condition caused by poor food, temporary can not be corrected, the dose should be promptly adjusted or suspended. 3, for acute patients, immediately take blood, urine samples,