DrVirgo
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24. An obese 62-year-old woman is brought to the emergency department in a coma by emergency medical technicians (EMTs). The EMTs report that she said she had palpitations and double vision before becoming unresponsive 10 minutes ago. A Medic Alert bracelet shows that she has hypertension and type 2 diabetes mellitus. A number of prescription drugs are found in her purse. Serum glucose concentration is 50 mg/dL. Which of the following drugs is the most likely cause of the hypoglycemia?
A
) Acarbose
B
) Captopril
C
) Digoxin
D
) Glyburide
E
) Methyldopa
D or A?
Please discuss/explain. Thanks.
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| yasmeen
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D SULFONYLUREAS CAUSE HYPOGLYCEMIA SPECIALLY IN ELDERLY
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| robin082006
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D
Virgo: Acarbose and Metformin are two diabetic drugs that do not cause HYPOGLYCEMIA.
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| r_albayunen
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D
True robin. actually what tells the difference its is mechanism of action .. glyburide blocks k channels and releases high [ ] of insulin .. hence hypoglycemia.
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| DrVirgo
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 You guys are right... I need to review those again! Will post q's more tomorrow.
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| DrVirgo
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D is right...
Sulfonylureas cause Hypoglycemia as a SE. (more common with second generation: glyburide and glipizide)
Sulfonylureas also cause disulfiram like rxns (NOT seen with second generation drugs)
--So others like tolbutamide and chlorpropamide.
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| Allison
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I agree D
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