Fairly easy

A patient with diabetes begins propranolol for hypertension. Which teaching point is most important?

Correct answer: B. The medicine may mask warning signs of hypoglycaemia

  • A. The medicine prevents all insulin reactions
  • B. The medicine may mask warning signs of hypoglycaemia
  • C. The medicine should be stopped after one normal reading
  • D. The medicine always causes severe hyperglycaemia

Explanation

Beta blockers such as propranolol can blunt adrenergic warning signs of hypoglycaemia, especially tachycardia and tremor. The patient should monitor glucose carefully and learn to recognise other signs, such as sweating or confusion.

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About Endocrine and Diabetes Nursing

Covers diabetes mellitus, insulin therapy, hypoglycaemia, diabetic ketoacidosis, hyperosmolar states and common thyroid, adrenal and pituitary disorders. It includes blood glucose monitoring, diet, foot care, sick-day management and the clinical differences between type 1 and type 2 diabetes and between diabetic ketoacidosis and hyperosmolar hyperglycaemic state.

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